Summary The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of utilization review and supporting Baptist's reimbursement strategy. Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services using evidence based criteria. Areas of work include payer notification, authorization management, denial management, escalations, and communication and coordination between payer, business office and UR Team. Responsibilities
Completes payer notification
Communicates incorrect payer with patient access
Communicate with Utilization Review Nurse
Works assigned queues in the electronic medical record
Documents next review dates in the electronic medical record
Documents and updates authorized or denied information on auth/cert screen in the electronic medical record
Schedules peer to peer when indicated
Completes assigned goals
Requirements, Preferences and Experience Experience Minimum:2 years' clerical/support experience in a medical environmentExperience Preferred:Previous authorization coordinator experienceEducation Minimum:High School Degree or equivalentEducation Preferred:Bachelor's degreeSpecial Skills Minimum:Solid intermediate computer skills, Microsoft Office Suite; Knowledge of medical terminology and insurance; Accurate data entryAbout 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:
Competitive salaries
Paid vacation/time off
Continuing education opportunities
Generous retirement plan
Health insurance, including dental and vision
Sick leave
Service awards
Free parking
Short-term disability
Life insurance
Health care and dependent care spending accounts
Education assistance/continuing education
Employee referral program
Job Summary: Position: 19841 - Coordinator-AuthorizationFacility: BMH - NEA HospitalDepartment: JO Case Mgmt Administration NEA Baptist JonesboroCategory: Administrative Non Clinical SupportType: Non ClinicalWork Type: Full TimeWork Schedule: DaysLocation: US:AR:JonesboroLocated in the Jonesboro and Northeast Arkansas metro area REQNUMBER: 23628
