Coordinator-Authorization

Baptist; Memphis (TN); On-site; USD 38,000 - 52,000; Full time

Job summary

The Authorization Coordinator at Baptist is responsible for documenting and transmitting information vital to utilization review and supporting Baptist’s reimbursement strategy. Specifically, the managed care techniques used focus on prior authorization for services using evidence based criteria, coordinating between payer, business office and UR Team.

Key tasks include payer communications, updating the EMR with review dates, denial management, and scheduling peer-to-peer reviews when

Qualifications

• 2 years’ clerical/support experience in a medical environment.
• Strong data entry accuracy and attention to detail.
• Proficient in Microsoft Office and basic computer skills.

Responsibilities

• Communicates incorrect payer with patient access
• Communicate with Utilization Review Nurse
• Works assigned queues in the electronic medical record
• Documents next review dates in the electronic medical record
• Documents and updates authorized or denied information on auth/cert screen in the electronic medical record
• Schedules peer to peer when indicated
• Completes assigned goals

Skills

Microsoft Office

Medical terminology

Data entry

Education

High School Diploma

Job description

• Department Case Management Administration

Job Description

Job Summary

The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of utilization review and supporting Baptist’s reimbursement strategy. Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services using evidence based criteria. Areas of work include payer notification, authorization management, denial management, escalations, and communication and coordination between payer, business office and UR Team.

Responsibilities

• Communicates incorrect payer with patient access
• Communicate with Utilization Review Nurse
• Works assigned queues in the electronic medical record
• Documents next review dates in the electronic medical record
• Documents and updates authorized or denied information on auth/cert screen in the electronic medical record
• Schedules peer to peer when indicated
• Completes assigned goals

Specifications

Experience

• 2 years’ clerical/support experience in a medical environment

Education

• High School Degree or equivalent

Training

Special Skills

• Solid intermediate computer skills, Microsoft Office Suite; Knowledge of medical terminology and insurance; Accurate data entry