[Hiring] Prior Authorization Role RCM @BJC HealthCare

Role Description

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.
• Obtain authorization on behalf of some physicians at Washington U school of medicine and BJC medical group
• Maintain positive relationships
• Ensure technology supports the scripting and validation of authorization and NOA
• Represent BJC with the highest standard of customer service and compassion
• Facilitate components of the patients' entrance into any BJC facility, including insurance validation, benefit verification, pre-certification & financial clearance
• Ensure accurate patient data is obtained and populated into the patient record, particularly authorization data and status
• 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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