Precertification Specialist
Precertification Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Job Description
The Precertification Specialist is responsible for obtaining prior authorizations/pre-certifications as required by third party payers for pre and post transplant testing and prescriptions ordered by the transplant programs. The position regularly interacts and collaborateswith clinicians technicians other department staff and payer representatives to gather and submit necessary information and then communicates with patients regarding their benefits and expected out-of-pocket costs.This position will encompass other duties as assigned to support the transplant financial team.
Obtains precertification/prior authorizations for pre and post transplant testing and prescriptions ordered by the transplant programs as required by insurance prior to scheduled date for both facility and physician
Coordinates with provider to ensure that patients condition meets insurance eligibility criteria
Updates appropriate work queues within Epic including notes with updates on calls made departments/people spoke with prior auth numbers and authorization periods
Interacts with the Financial Clearance Center Team to coordinate information needed to communicate benefits and patient responsibility for the facility billing portion
We are looking for someone that is excited about working with people and has a positive attitude. The ideal candidate has strong computer and critical thinking skills and can multitask in a fast-paced work environment.
Why Saint Lukes
We believe in creating a collaborative environment while looking for innovative ways to improve. We offer competitive salaries and benefits packages to all eligible employees:
Medical health plans
Tuition reimbursement
Paid time off
Retirement contributions
Employee Assistance Program
Job Requirements
Applicable Experience:
Less than 1 yearJob Details
Full TimeDay (United States of America)The best place to get care. The best place to give care. Saint Lukes 12000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based nonprofit locally owned health system in Kansas City. Joining Saint Lukes means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City regions premiere provider of health services. Equal Opportunity Employer.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
