Specialist-Patient Placement

Baptist • Memphis, TN

5d

About The Position

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

Requirements

• 5 years of business/clinical experience in a healthcare
• Associates 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
• Bachelor's degree or equivalent years of work experience

Responsibilities

• Assesses and evaluates clinical and financial information available and recommends the most appropriate setting for service delivery, including level of care in order to optimize resource consumption and reimbursement.
• Precertifies patient care services that require precertification, as identified, in a timely, efficient manner, in order to optimize reimbursement for the patient, as well as health care providers.
• Communicates recommendations, clinical information, and fiscal information to appropriate internal and external customers in order to facilitate optimal delivery of services and customer satisfaction.
• Participates in the planning, data collection, and analysis phases of performance improvement activities in order to maximize the patient placement/precertification process.
• Completes assigned goals

What This Job Offers

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