Certification Coord. (PRN)

Remote Full-time
Additional Information About the Role

BJC HealthCare is seeking a Certification Coordinator to join our team on a PRN, as needed basis. This individual will be supporting nurses but working the fax line and uploading faxes to patient charts in EPIC. They will also monitor a voicemail box and sending messages to payors and nurses as well as looking up information in insurance portals, working fax line, attach fax in EPIC, monitor voicemail box sending vm from payor to nurses, looking up insurance auth from insurance portals.

Schedule: PRN- as needed

Hours are Monday- Friday 8-4:30. Must be able to work 1 shift every two weeks.

This is a remote role, but applicants must be located within the St. Louis area.

Overview

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.

BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.

BJC's patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children's Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.

Preferred Qualifications

Role Purpose

The Certification Coordinator works in coordination with other departmental and hospital staff to ensure reimbursement for care rendered. Facilitates certification with external and on-site reviewers and resolving payment discrepancies.

Responsibilities

Ensures third-party authorization for patients.Collaborates with Patient Accounts department regarding insurance information.Provides support to the Care Coordination Department.

Minimum Requirements

Education

High School Diploma or GED

Experience

2-5 years

Supervisor Experience

No Experience

Preferred Requirements

Licenses & Certifications

Accredited Record TechnicianLicensed Practical NurseRNRegistered Records Admini

Benefits and Legal Statement

BJC Total Rewards

At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
• Comprehensive medical, dental, vison, 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

To learn more, go to our Benefits Summary.
• Not all benefits apply to all jobs

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

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