[Hiring] Prior Authorization Representative @BJC HealthCare

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. 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
• 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
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