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Specialist-Patient Placement
4 months ago
Summary
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 Supervisor/Manager of Centralized Patient Access Center-Corporate. Performs other duties as assigned.
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.
Requirements, Preferences and Experience
Education
Preferred: Bachelors degree or equivalent years of work experience.
Minimum: Associates degree or equivalent years of work experience.
Experience
Preferred: 8 years of business/clinical experience in a healthcare setting with a focus in patient access, business office, and/or case management areas.
Minimum: 5 years of business/clinical experience in a healthcare setting with a focus in patient access, business office, and/or case management areas.
Licensure, Registration, Certification
Preferred: LPN or CMA
Special Skills
Minimum: Excellent communication skills. Advanced computer literacy skills.
About Baptist Memorial Health Care
At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.
At Baptist, We Offer:
+ Competitive salaries
+ Paid vacation/time off
+ Continuing education opportunities
+ Generous retirement plan
+ Health insurance, including dental and vision
+ Sick leave
+ Service awards
+ Free parking
+ Short-term disability
+ Life insurance
+ Health care and dependent care spending accounts
+ Education assistance/continuing education
+ Employee referral program
Job Summary:
Position: 10514 - Specialist-Patient Placement
Facility: Centralized Patient Access Center
Department: HS Centralized Patient Access Ctr Corporate
Category: Nursing Support & Patient Care
Type: Non Clinical
Work Type: PRN
Work Schedule: Days
Location: US:TN:Collierville
Located in the Memphis metro area REQNUMBER: 21990
