Precertification Specialist

St. Luke's Hospital (MO); Chesterfield (MO); Hybrid; USD 35,000 - 52,000; Full time

Benefits offered by this job

Day one benefits package

Pension Plan & 401K

Competitive compensation

FSA & HSA options

PTO programs available

Education Assistance

Job summary

St. Luke's Hospital is a value-driven health system recognized for service and quality. This role focuses on ensuring efficient service use, verifying insurance eligibility, and obtaining precertifications for outpatient testing, while promoting teamwork across the healthcare team in a hybrid schedule environment.

The Education requirements include a High School Diploma or GED, and the organization offers strong benefits and a supportive culture dedicated to patient care.

Qualifications

• Education: High School Diploma or GED.

Responsibilities

• Ensure the effective and efficient use of services and monitor medical necessity for diagnostic testing authorizations.
• Verify insurance eligibility and benefits and obtain deductible and coinsurance amounts.
• Obtain precertification/authorization for outpatient diagnostic testing and other services as needed.
• Promote teamwork with all members of the healthcare team.

Education

High School Diploma or GED

Job description

Job Posting

Weare dedicated to providingexceptional care to every patient, every time.

St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for Outstanding Patient Experience by HealthGrades.

Position Summary:

Ensures the effective and efficient use of services, monitors appropriateness and medical necessity and provides necessary information for authorization of diagnostic testing withmultiplyinsurance providers. Verifies insurance eligibility and benefits and obtains deductible and coinsurance amounts, obtaining precertification/authorization for outpatient diagnostic testing and other services as needed. Responsible for promoting teamwork with all members of the healthcare team. Performs duties in a manner consistent with St. Luke's mission and values. The position offers a hybrid schedule.

Education, Experience, & Licensing Requirements:

Education:High School Diploma or GED

Benefits for a Better You:

• Day one benefits package

• Pension Plan & 401K

• Competitive compensation

• FSA & HSA options

• PTO programs available

• Education Assistance

Why You Belong Here:

You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke's family to be a part of making life better for our patients, their families, and one another.