Pre-Certification Specialist

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POST DATE 10/4/2019
END DATE 11/19/2019

Mercy Chesterfield, MO

Company
Mercy
Location
Chesterfield, MO
AJE Ref #
585018289
Job Classification
Full Time
Job Type
Regular
Company Ref #
805568
Experience
Mid-Career (2 - 15 years)
Education
High School Diploma or GED

JOB DESCRIPTION

We're a Little Different

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.

We don't believe in jobs at Mercy, we believe in careers that match the unique gifts of unique individuals; careers that not only make the most of your skills and talents, but also your heart.

At Mercy, you'll feel our supportive community every step of your day, especially the tough ones. We're a team and love working that way. That team is expanding, and we currently have exceptional opportunities to help our communities grow.

Mercy Care Management Inpatient Utilization Care Management pre-certification specialist is responsible for completion of precertification, notification, authorization and work queue management, for patient accounts admitted to Mercy designated facilities. Pre-certification(s) must be completed timely, with attention to accurate details per payer requirements, and Mercy policy and procedure. Pre-Certification specialist perform duties required for work queue management, such as, observation charge review, missing room and board charge review and retrospective Medicaid authorization requests. Pre-Certification specialist facilitate fiscal responsibility for both patients and the organization. Performs duties and responsibilities in a manner consistent with our mission, values and Mercy Service Standards.

Because you're committed to excellence, you understand the importance of being properly prepared for your role at Mercy. That's why you'll bring to your role the right set of qualifications:

* Education: High School graduate or equivalent.

* Minimum of 3 years in an office environment with computer skills and literacy.

We'll Support You at Work and Home

Our foundations are built on dignity and respect. Modern Healthcare Magazine named us as a "top 100 places to work." We go out of our way to help people feel welcomed. We offer day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds to benefit-eligible co-workers, including those working 48 hours or more per pay period!

What Makes a Good Match for Mercy

Compassion and professionalism go hand-in-hand with us, along with exceptional quality care. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We're also collaborative and are not afraid to do a little extra to deliver excellent care - that's just part of our commitment. If that sounds like a fit for you as well, we encourage you to apply.

Care Management, Utilization Management, Pre-Certification, PreCert, Authorization

#CBE

Mercy has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

EEO/AA/Minorities/Females/Disabled/Veterans