Specialist-Patient Placement Position Available In Lowndes, Mississippi
Tallo's Job Summary: The Specialist-Patient Placement job at BMH Golden Triangle Hospital in Columbus, MS involves evaluating resource utilization, obtaining insurance authorizations, and recommending care plans. This full-time position requires 5 years of healthcare experience, an associate's degree, and strong communication and computer skills. LPN or CMA licensure is preferred.
Job Description
Specialist-Patient Placement
Job ID:
32317
Job Category:
Admissions
Work Type:
Full Time
Work Schedule:
Days
Department:
Admissions Patient Access
Facility:
BMH Golden Triangle Hospital
Location:
Columbus, MS
Overview
Job Summary
Rmends the most efficient, cost effective utilization of resources within the continuum of care, priorto 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 leadership ofCentralized Patient Access or Baptist Connected Center-Corporate. Performs other duties as assigned.
Job Responsibilities
Assesses and evaluates clinical and financial information available and rmends 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 rmendations, 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.
Experience
Description Minimum Required Preferred/Desired
5 years of business/clinical experience in a healthcare setting with a focus in patient access, business office, and/orcase management are
setting with a focus in patient access, business office, and/orcase management areas.
Education
Description Minimum Required Preferred/Desired
Associates degree or equivalent years of work experience.
Training
Description Minimum Required Preferred/Desired
Special Skills
Description Minimum Required Preferred/Desired
Excellentmunication skills. Advancedputer literacy skills.
Licensure
Description Minimum Required Preferred/Desired
LPN or CMA
