• Handle inbound and outbound calls • Providing excellent customer service • Requesting authorizations for all State funded/Medicaid type agencies • Follow up on any outstanding authorizations or prebilling issues by either Using websites or portals • Out bound phone calls, emails or faxes • Data Entry- client information as needed into different portals • Support to other team members when/where is needed • Scanning documents • Communicating daily numbers along with any delays in deadlines with the Supervisor • Maintain confidentiality of all information with the Business office • Perform other duties assigned by the Supervisor Manager

• Review and interpret Commercial General Liability (CGL), non-trucking liability, and related policies, including endorsements • Analyze coverage issues involving bodily injury, property damage, personal and advertising injury, and premises liability • Evaluate exposure across different program types, including off-dispatch vehicle use, habitational premises risks, and pet care-related activities • Draft and issue coverage position letters, including reservations of rights and denials, as appropriate • Investigate and manage claims involving slip and fall incidents, premises liability, habitational exposures, transportation-related liability, and animal-related incidents • Coordinate with insureds, claimants, witnesses, experts, and counsel to evaluate liability, causation, and damages • Analyze and document exposures including medical specials, general damages, property damage, and liability risk • Develop and implement claim strategies to achieve timely and cost-effective resolution • Evaluate exposure and recommend reserves based on liability and damages analysis • Negotiate settlements within authority, balancing legal exposure, financial considerations, and client objectives • Maintain accurate and timely documentation of coverage analysis, claim activity, and strategic decisions within the claims management system • Serve as a key point of contact for clients, insureds, brokers, and defense counsel • Provide clear, concise reporting on claim status, coverage, exposure, and resolution strategies • Collaborate with internal teams and program managers to identify trends and support program performance

Role Description Siteman Cancer is looking to hire a Prior Authorization Rep. This role is critical in the financial clearance process which assists BJC hospitals enterprise wide in securing the appropriate authorization and/or Notice Of Admission (NOA) in order to prevent rescheduling the patient or risking net revenue loss. This position is required to obtain authorization on behalf of some physicians at Washington U school of medicine and BJC medical group and must maintain positive relationships. This position ensures technology is built in a way to accurately support the scripting and validation of authorization and NOA. Without the above we are limited in our collection of payment. The role represents BJC with the highest standard of customer service, compassion and performs all duties in a manner consistent with our mission, vision, values, and service standards. - Facilitates certain components of the patients' entrance into any BJC facility, including insurance validation, benefit verification, pre-certification & financial clearance. - Responsible for ensuring that the most accurate patient data is obtained and populated into the patient record, particularly authorization data and status. - This team member must possess exceptional attention to detail & maintain knowledge & competence with insurance carriers, Medicare guidelines & federal, state & accreditation agencies. Qualifications - High School Diploma or GED - 2-5 years of experience Requirements - Associate's Degree (preferred) - 5-10 years of experience (preferred) - CHAA certification (preferred) Benefits - Comprehensive medical, dental, vision, life insurance, and legal services available first day of the month after hire date - Disability insurance paid for by BJC - Annual 4% BJC Automatic Retirement Contribution - 401(k) plan with BJC match - Tuition Assistance available on first day - BJC Institute for Learning and Development - Health Care and Dependent Care Flexible Spending Accounts - Paid Time Off benefit combines vacation, sick days, holidays and personal time - Adoption assistance

• Provide feedback and data of all reoccurring issues. • Provide a strong focus of customer service with timely responses regarding inquiries from Builder organization. • Develop and maintain customer relations by seeking customer feedback, both external and internal, to ensure continuous improvement takes places to improve overall performance. • Communicate/coordinate technical issues in support of customer needs. • Undertaking all customer support tasks in external facilities. • Guaranteeing that the work progress accurately follows the agenda. • Perform troubleshooting and strive to resolve issues. • Produce frequent and analytical service reports. • Coordinate with departments for root cause and/or solutions in support of customer needs. • Discern customer needs and offer advice or recommendations. • Formulate relationships of trust with customers.