Coordinator-Authorization Position Available In Shelby, Tennessee

Coordinator-Authorization

Job ID:

30988

Job Category:

Administrative Non Clinical Support

Work Schedule:

Days

Department:

Case Management Administration

Facility:

BMHCC System Services

Location:

Memphis, TN
Overview

Coordinator-Authorization Job Code:

22772
FLSA Status

Job Family:

CASE MGMT

Job Description Title:

Coordinator-Authorization
Job Summary
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, andmunication and coordination between payer, business office and UR Team
Job Responsibilities
Completes payer notification
Communicates incorrect payer with patient access
Communicate 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
Specifications
Experience
Description Minimum Required Preferred/Desired
2 years’ clerical/support experience in a medical environment Previous authorization coordinator experience
Education
Description Minimum Required Preferred/Desired
High School Degree or equivalent Bachelor’s degree
Training
Description Minimum Required Preferred/Desired
Special Skills
Description Minimum Required Preferred/Desired
Solid intermediateputer skills, Microsoft Office Suite; Knowledge of medical terminology and insurance; Accurate data entry Licensure
Description Minimum Required Preferred/Desired
ing Relationships
Does this position formally supervise employees? If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively rmend such to manager.
ing Relationships
No
Work Environment
Functional Demands
Label Short Description Full Description
Sedentary Very light energy level Lift 10lbs. box overhead. Lift and carry 15lbs. Push/pull 20lbs. cart
Light Moderate energy level Lift and carry 25-35lbs. Push/pull 50-100lbs. (ie. empty bed, stretcher)
Medium High energy level Lift and carry 40-50lbs. Push/pull +

• 150-200lbs. (Patient on bed, stretcher) Lateral transfer 150-200lbs. (ie. Patient)
  Heavy Very high energy level Lift over 50lbs. Carry 80lbs. a distance of 30 feet. Push/pull > 200lbs. (ie. Patient on bed, stretcher). Lateral transfer or max assist sit to stand transfer. Functional Demands Rating
  Sedentary
  Activity Level Throughout Workday
  Physical Activity Requirements
• Sitting
  Occasional
  Physical Activity Requirements
• Standing
  Occasional
  Physical Activity Requirements
• Walking
  Occasional
  Physical Activity Requirements
• Climbing (e.g., stairs or ladders)
  Occasional
  Physical Activity Requirements
• Carry objects
  Occasional
  Physical Activity Requirements
• Push/Pull
  Occasional
  Physical Activity Requirements
• Twisting
  Occasional
  Physical Activity Requirements
• Bending
  Occasional
  Physical Activity Requirements
• Reaching Forward
  Occasional
  Physical Activity Requirements
• Reaching Overhead
  Occasional
  Physical Activity Requirements
• Squat/Kneel/Crawl
  Occasional
  Physical Activity Requirements
• Wrist position deviation
  Occasional
  Physical Activity Requirements
• Pinching/fine motor activities
  Occasional
  Physical Activity Requirements
• Keyboard use/repetitive motion
  Occasional
  Physical Activity Requirements
• Taste or smell
  Physical Activity Requirements
• Talk or hear
  Continuous
  Sensory Requirements
  Color Discrimination Near Vision Far Vision Depth Perception Hearing
  Yes Accurate Accurate Minimal Minimal
  Environmental Requirements
• Blood-Borne Pathogens
  Anticipated
  Environmental Requirements
• Chemical
  Anticipated
  Environmental Requirements
• Airborne Communicable Diseases
  Anticipated
  Environmental Requirements
• Extreme Temperatures
  Anticipated
  Environmental Requirements
• Radiation
  Anticipated
  Environmental Requirements
• Uneven Surfaces or Elevations
  Anticipated
  Environmental Requirements
• Extreme Noise Levels
  Anticipated
  Environmental Requirements
• Dust/Particular Matter
  Anticipated
  Environmental Requirements
• Other