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UM Unit Precert Specialist

Company: Mercy Healthcare
Location: Chesterfield
Posted on: May 3, 2021

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.

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. Join us and discover why Modern Healthcare Magazine named us in its "Top 100 Places to Work."

Overview:

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.

Schedule includes rotating weekend coverage; approx. 8-9 weekends per year, rotating every 6 weeks.

Qualifications:

  • Experience: Minimum of 3 years in an office environment with computer skills and literacy.
  • Required Education: High School graduate or equivalent.
  • Other: Must have ability to work independently and meet deadlines, giving attention to detail and follow-up. Excellent time management skills, organizational skills, able to coordinate multiple tasks and prioritize work. Must have a good understanding of medical terminology with the ability to read, discuss and understand patient medical information. Excellent verbal, written and technical skills, particularly telephone and Microsoft suite of programs. Advanced computer skills. Must have ability to interact effectively with a variety of people and situations at all levels of the organization.

We Offer Great Benefits:

Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 48 hours or more per pay period!

We're bringing to life a healing ministry through compassionate care.

At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We're expanding to help our communities grow. Join us and be a part of it all.

What Makes You a Good Match for Mercy?

Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We're also collaborative and unafraid to do a little extra to deliver excellent care - that's just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.

Responsibilities You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. 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 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.

Keywords: Mercy Healthcare, Chesterfield , UM Unit Precert Specialist, Other , Chesterfield, Missouri

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