Specialist-Patient Placement

Baptist • Jackson, MS

8d

About The Position

Recommends the most efficient, cost-effective utilization of resources within the continuum of care prior to service delivery. Evaluates, assesses, plans, and facilitates a plan of care. Obtains and validates insurance prior authorizations and pre-certification for inpatient and/or outpatient healthcare services. Some overtime and call back is required. The position is under the general direction of the leadership of Centralized Patient Access or Baptist Connected Center-Corporate. Performs other duties as assigned.

Requirements

• At least 5 years of business/clinical experience in a healthcare setting, focused on patient access, business office, and/or case management.
• Associate degree or equivalent years of work experience.
• Excellent communication skills.
• Advanced computer literacy skills.

Nice To Haves

• 8 years of business/clinical experience in a healthcare setting, focused on patient access, business office, and/or case management.
• Bachelor's degree or equivalent years of work experience.
• LPN or CMA.

Responsibilities

• Assess and evaluate available clinical and financial information and recommend the most appropriate setting and level of care to optimize resource consumption and reimbursement.
• Precertify patient care services requiring precertification in a timely and efficient manner to optimize reimbursement for patients and healthcare providers.
• Communicate recommendations, clinical information, and fiscal information to appropriate internal and external customers to facilitate optimal service delivery and customer satisfaction.
• Participate in the planning, data collection, and analysis phases of performance improvement activities to maximize the patient placement/precertification process.
• Complete assigned goals.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree