Insurance Authorization Coordinator - BJC Home Medical Equipment Team
BJC HealthCare
Application
Details
Posted: 01-Nov-24
Location: Saint Louis, Missouri
Salary: Open
Categories:
Operations
Internal Number: 81093
Additional Information About the Role
Do you have patient accounts, billing or authorization experience? BJC Home Medical Equipment is hiring an insurance authorization coordinator.
Schedule
Monday - Friday
8:00 am - 4:30 pm
No Weekends or Holidays
On-site (Page & I-170) eventually moving to the Commons.
Overview
BJC Home Care offers patients and their families a complete range of home care services, including skilled nursing services, adult and pediatric hospice and supportive care, rehabilitation therapy, home infusion therapy, infusion treatment rooms, home medical equipment and high-tech respiratory care. Specialty home care programs also are available, including adult and pediatric asthma, cardiac, diabetes, orthopedic and wound care programs.
BJC Home Care provides care to thousands of patients in both Missouri and Illinois. Serving more than 25 counties, it has become the largest home care network in the region and one of the largest in the country.
The Home Medical Equipment Department of BJC Home Care Services offers quality medical equipment and services that our patients can purchase or rent. We offer equipment delivery and comprehensive training on the use of the equipment. The Home Medical Equipment Department also provides home respiratory equipment, supplies and services for patients who need home oxygen or other respiratory therapies, with staff that include registered therapists and other highly trained professionals.
Preferred Qualifications
Role Purpose
The Insurance Authorization Coordinator 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.
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.
Minimum Requirements
Education
High School Diploma or GED
Experience
<2 years
Preferred Requirements
Education
Associate's Degree
Supervisor Experience
No Experience
Benefits and Legal Statement
BJC Total Rewards
At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
Disability insurance* paid for by BJC
Pension Plan*/403(b) Plan funded by BJC
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
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer