BJC Healthcare Medical Equipment Authorization Rep in Saint Louis, Missouri

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BJC Home Care Services offers patients and their families a complete range of home care services, including skilled nursing services, adult and pediatric hospice and supportive care, rehabilitation therapy, home infusion therapy, infusion treatment rooms, home medical equipment and high-tech respiratory care. Specialty home care programs also are available, including adult and pediatric asthma, cardiac, diabetes, orthopedic and wound care programs as well as the Lifeline emergency response system. BJC Home Care Services provides care to thousands of patients in both Missouri and Illinois. Serving more than 25 counties, it has become the largest home care network in the region and one of the largest in the country.

The Patient Accounts Department of BJC Home Care Services provides centralized billing and collection using computerized billing systems. The Patient Accounts Department generates the billing for all BJC Home Care Services patient services and supplies, receives and processes the payments, applies the payments to the patient accounts and generates accounts receivable reports as needed.

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Role Purpose

Responsible for acquiring detailed and accurate certificates of medical necessity and prior authorizations to ensure timely submission of claims for medical equipment.

Responsibilities

  • Maintains accurate and complete computerized notes as well as patient files to facilitate the orderly management of the CMN and authorization function.

  • Processes certificates of medical necessities.

  • Processes authorizations, prior approvals, and exemptions.

Minimum Requirements

Degree

  • High School Diploma or GED

Experience

  • <2 years

Supervisor Experience

  • No Experience

Preferred Requirements and Additional JobInformation

Experience

  • 2-5 years

Benefits Statement

Note: not all benefits apply to all openings

  • Comprehensive medical, dental, life insurance, and disability plan options- Pension Plan*/403(b) Plan- 401(k) plan- Tuition Assistance- Health Care and Dependent Care Reimbursement Accounts-On-Site Fitness Center (depending on location)-Paid Time Off Program for vacation, holiday and sick time

*Pension does not apply to Memorial Hospital, Memorial Hospital East, Memorial Medical Group, Alton Memorial or Parkland Health Center

Legal Statement

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

REQNUMBER: 1178762-1A