Coordinator-Authorization

Baptist • Memphis, TN

46d

About The Position

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.

Requirements

• 2 years’ clerical/support experience in a medical environment
• Solid intermediate computer skills, Microsoft Office Suite
• Knowledge of medical terminology and insurance
• Accurate data entry
• High School Degree or equivalent

Nice To Haves

• Previous authorization coordinator experience
• Bachelor’s degree

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

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees