Precertification Specialist

St. Luke's Hospital•Chesterfield, MO

14h

About The Position

We are dedicated to providing exceptional care to every patient, every time. St. Luke’s Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke’s Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades. Position Summary: Ensures the effective and efficient use of services, monitors appropriateness and medical necessity and provides necessary information for authorization of diagnostic testing with multiply insurance providers. Verifies insurance eligibility and benefits and obtains deductible and coinsurance amounts, obtaining precertification/authorization for outpatient diagnostic testing and other services as needed. Responsible for promoting teamwork with all members of the healthcare team. Performs duties in a manner consistent with St. Luke’s mission and values.

Requirements

High School Diploma or GED

Responsibilities

Ensures the effective and efficient use of services
Monitors appropriateness and medical necessity
Provides necessary information for authorization of diagnostic testing with multiply insurance providers
Verifies insurance eligibility and benefits
Obtains deductible and coinsurance amounts
Obtaining precertification/authorization for outpatient diagnostic testing and other services as needed
Responsible for promoting teamwork with all members of the healthcare team
Performs duties in a manner consistent with St. Luke’s mission and values.