Baptist Memorial Healthcare Corporation

Recommends the most efficient, cost effective utilization of resources within the continuum of care, prior to the delivery of services.. Obtains/Validates insurance prior authorizations and pre-certification for inpatient and/or outpatient healthcare services.. Participates in the planning, data collection, and analysis phases of performance improvement activities in order to maximize the patient placement/precertification process.. About Baptist Memorial Health Care. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching.

specialist

Summary Recommends the most efficient, cost effective utilization of resources within the continuum of care, prior to the delivery of services. Evaluates, assesses, plans, and facilitates a plan of care. Obtains/Validates insurance prior authorizations and pre-certification for inpatient and/or outpatient healthcare services. Some overtime and call back is required. This position is under the general direction of the Supervisor/Manager of Centralized Patient Access Center-Corporate. Performs other duties as assigned. Responsibilities <ul><li>Assesses and evaluates clinical and financial information available and recommends the most appropriate setting for service delivery, including level of care in order to optimize resource consumption and reimbursement. </li><li>Precertifies patient care services that require precertification, as identified, in a timely, efficient manner, in order to optimize reimbursement for the patient, as well as health care providers. </li><li>Communicates recommendations, clinical information, and fiscal information to appropriate internal and external customers in order to facilitate optimal delivery of services and customer satisfaction. </li><li>Participates in the planning, data collection, and analysis phases of performance improvement activities in order to maximize the patient placement/precertification process. </li><li>Completes assigned goals. </li> </ul>Requirements, Preferences and Experience Education Preferred: Bachelors degree or equivalent years of work experience. Minimum: Associates degree or equivalent years of work experience. Experience Preferred: 8 years of business/clinical experience in a healthcare setting with a focus in patient access, business office, and/or case management areas. Minimum: 5 years of business/clinical experience in a healthcare setting with a focus in patient access, business office, and/or case management areas. Licensure, Registration, Certification Preferred: LPN or CMA Special Skills Minimum: Excellent communication skills. Advanced computer literacy skills. About Baptist Memorial Health Care At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey. At Baptist, We Offer: <ul> <li>Competitive salaries </li> <li>Paid vacation/time off </li> <li>Continuing education opportunities </li> <li>Generous retirement plan </li> <li>Health insurance, including dental and vision </li> <li>Sick leave </li> <li>Service awards </li> <li>Free parking </li> <li>Short-term disability </li> <li>Life insurance </li> <li>Health care and dependent care spending accounts </li> <li>Education assistance/continuing education </li> <li>Employee referral program </li> </ul> Job Summary: Position: 10514 - Specialist-Patient Placement Facility: Centralized Patient Access Center Department: HS Centralized Patient Access Ctr Corporate Category: Nursing Support & Patient Care Type: Non Clinical Work Type: PRN Work Schedule: Days Location: US:TN:Collierville Located in the Memphis metro area

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