Job Details
Specialist-Patient Placement
Overview
Job Summary
Recommends 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 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.
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
Excellent communication skills.
Advanced computer literacy
skills.
Licensure
Description Minimum Required Preferred/Desired
LPN or CMA
REQNUMBER: 32317
Job Summary
Recommends 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 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.
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
Excellent communication skills.
Advanced computer literacy
skills.
Licensure
Description Minimum Required Preferred/Desired
LPN or CMA
REQNUMBER: 32317
Job #NLX276694346