Insurance Authorization Coordinator

BJC HealthCare • St. Louis, MO

3d • Remote

About The Position

Barnes Jewish Hospital is seeking an Insurance Authorizations Coordinator for our nationally renowned transplant team! This role is responsible for ensuring that the organization has the appropriate insurance benefit, pre-certification and pre-authorization information for patients prior to the provision of care. The Transplant Service department at Barnes-Jewish and Washington University focuses only on patients undergoing transplant and those with specific diseases leading up to transplantation. Each transplant coordinator on the transplant team is an expert in their transplant field of specialty. Together, they bring their expertise, knowledge and understanding to the patients in our multiple transplant programs. The transplant coordinator organizes and manages all aspects of care provided before and after transplant.

Requirements

• High School Diploma or GED
• <2 years experience
• Experience with insurance
• Customer service experience
• Works well within a team environment

Nice To Haves

• Associate's Degree
• Supervisor Experience

Responsibilities

• Utilizes multiple platforms and/or vendor-based applications to investigate and determine benefits, pre-certification, and pre-authorization status.
• Communicates with insurance companies and patients regarding benefit, pre-certification, and pre-authorization requirements and status to ensure appropriate insurance authorization is secured prior to service.
• Answers phone calls and directs issues to the appropriate person for resolution; verifies the receipt of patient insurance authorizations and ensures that all authorizations stay current.
• Provides assistance to the clerical and clinical team regarding the requirements for benefits, pre-authorization and re-authorization for patients.
• Communicates benefit and/or authorization issues in a timely manner to all staff; ensures that patient care is not delayed.
• Performs accurate and timely entry of benefit information into the patient chart.
• Understands, monitors, and completes all work queues regarding authorizations and/or benefits, per the request of the Lead Coordinator.
• Receiving insurance information, checking coverage, pre-certification for testing and documenting items in our EPIC software.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED