Prior Authorization Rep - PRN

Mid Campus Center Prior Authorization Representative

Mid Campus Center is looking to hire a PRN Prior Authorization Rep for their Ambulatory Services.

Additional Preferred Requirements :

• Day time PRN shift
• Working hours 8-5.
• There is flexibility with start time.
• This person will cover PTO and FMLA, and fill-in when needed.
• Prefer prior authorization experience, EPIC, and insurance experience.
• Daily Pay

Overview :

Preferred Qualifications :

Role Purpose :

This role is critical in the financial clearance process which assists BJC hospitals enterprise wide in securing the appropriate authorization and / or Notice Of Admission (NOA) in order to prevent rescheduling the patient or risking net revenue loss. This position is required to obtain authorization on behalf of some physicians at Washington U school of medicine and BJC medical group and must maintain positive relationships. This position ensures technology is built in a way to accurately support the scripting and validation of authorization and NOA. Without the above we are limited in our collection of payment. The role represents BJC with the highest standard of customer service, compassion and perform all duties in a manner consistent with our mission, vision, values, and service standards. Facilitates certain components of the patients' entrance into any BJC facility, including insurance validation, benefit verification, pre-certification & financial clearance. Responsible for ensuring that the most accurate patient data is obtained and populated into the patient record, particularly authorization data and status. This team member must possess exceptional attention to detail & maintain knowledge & competence with insurance carriers, Medicare guidelines & federal, state & accreditation agencies.

Responsibilities :

Minimum Requirements :

Preferred Requirements :

Benefits and Legal Statement :

BJC Total Rewards :

At BJC were committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

To learn more, go to our Benefits Summary.

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer