Insurance Authorization Coordinator

BJC HealthCare; Northern (KY); Hybrid; USD 52,000 - 66,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

Tuition assistance

401(k) with match

Paid time off

Job summary

BJC HealthCare is seeking an Insurance Authorization Coordinator to support the transplant team. The role involves contacting insurance companies and navigating portals to obtain authorizations, with a preference for EPIC experience.

The position focuses on ensuring accurate benefit, pre-certification, and pre-authorization information before care is provided, aligning with the transplant program’s needs.

Qualifications

• High School Diploma or GED.
• Experience in insurance follow-up (<2 years).

Responsibilities

• Investigate and determine benefits, pre-certification, and pre-authorization status across multiple platforms.
• Communicate with insurance companies and patients about requirements and status to secure authorization prior to service.
• Answer calls and direct issues; verify receipt of authorizations and keep them current.
• Assist clerical and clinical teams with benefits, pre-authorization, and re-authorization requirements.
• Communicate benefit/authorization issues promptly to staff to avoid delays in patient care.
• Enter benefit information accurately into the patient chart.
• Monitor and complete work queues for authorizations and benefits as directed by the Lead Coordinator.

Skills

Insurance follow-up

Phone communication

Education

Associate's Degree

Tools

EPIC

Job description

Additional Information About the Role

BJC HealthCare is seeking an Insurance Authorization Coordinator to support our transplant team.

This individual will be calling insurance companies and working through their portals to help get authorizations. Ideal applicants will have experience within insurance follow up and EPIC.

Overview

Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.

The Transplant Service department at Barnes-Jewish and Washington University focuses only on patients undergoing transplant and those with specific diseases leading up to transplantation. Each transplant coordinator on the transplant team is an expert in their transplant field of specialty. Together, they bring their expertise, knowledge and understanding to the patients in our multiple transplant programs. The transplant coordinator organizes and manages all aspects of care provided before and after transplant.

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

• 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

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance* paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 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
• Adoption assistance

To learn more, go to our Benefits Summary.

*Not all benefits apply to all jobs

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