Specialist-Patient Placement Position Available In Shelby, Tennessee
Tallo's Job Summary: The Specialist-Patient Placement job at Baptist Connected Care in Memphis, TN involves evaluating, planning, and facilitating care plans, obtaining insurance authorizations, and optimizing resource utilization. This full-time position requires 5 years of healthcare experience and an associate's degree. Strong communication and computer skills are a must. LPN or CMA licensure is preferred.
Job Description
Specialist-Patient Placement
Job ID:
31814
Job Category:
Administrative Non Clinical Support
Work Type:
Full Time
Work Schedule:
Days
Department:
Baptist Connected Care
Facility:
BMHCC System Services
Location:
Memphis, TN
Overview
Job Summary
Rmends 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 leadership of Centralized Patient Access or Baptist Connected Center-Corporate. Performs other duties as assigned.
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.
Specifications
Experience
Minimum Required
5 years of business/clinical experience in a healthcare setting with a focus in patient access, business office, and/or case management areas.
Preferred/Desired
8 years of business/clinical experience in a healthcare setting with a focus in patient access, business office, and/or case management areas.
Education
Minimum Required
Associates degree or equivalent years of work experience.
Preferred/Desired
Bachelors degree or equivalent years of work experience.
Training
Minimum Required
Preferred/Desired
Special Skills
Excellentmunication skills. Advancedputer literacy skills.
Minimum Required
Excellentmunication skills. Advancedputer literacy skills.
Preferred/Desired
Licensure
Minimum Required
Preferred/Desired
LPN or CMA
