Coordinator-Authorization

Job

Job Category:
Administrative Non Clinical Support

Work Type:
Full Time

Work Schedule:

Days

Department:
Case Management Administration

Facility: BMHCC System Services

Location:

Memphis, TN

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.

• Completes payer notification
• Communicates incorrect payer with patient access
• Communicates 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

Minimum Required

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

Preferred/Desired

• Previous authorization coordinator experience

Minimum Required

• High School Degree or equivalent

Preferred/Desired

• Bachelor’s degree

Minimum Required

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

Preferred/Desired

• None