Specialist-Patient Placement - HS Centralized Patient Access Ctr Corporate

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