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BJC HealthCare

BJC HealthCare is one of the largest healthcare organizations in the U.S. focused on delivering "the world's best medicine," made better by its 30,000+ clinical

Prior Authorization Representative

Location

United States

Posted

4 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Prior Authorization Representative

BJC HealthCare

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

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