Precertification Manager (M-F 8A-4:30P)
3.
8 Fayetteville, AR Fayetteville, AR Full-time Full-time Estimated:
$39.
9K - $50.
5K a year Estimated:
$39.
9K - $50.
5K a year 1 day ago 1 day ago 1 day ago Precertification Manager Washington Regional Medical System (the System) is our region's only locally governed, community-owned, not-for-profit healthcare system.
The System includes a 425-bed acute care hospital known as Washington Regional Medical Center (the Hospital) which is in Fayetteville, Arkansas.
The Hospital is supported by the System- including primary, specialty and urgent care operations - that span across Northwest Arkansas into Harrison and Eureka Springs.
Being heavily supported and invested in our community makes Washington Regional a unique employer, encouraging staff to give back to the community in which we live and work and give back to each other.
Washington Regional Mission, Vision and Values prove to be a firm foundation and inspiration from which we fulfill our purpose.
Mission:
Washington Regional is committed to improving the health of people in communities we serve through compassionate, high-quality care, prevention and wellness education.
Vision:
To be the leading healthcare system in Northwest Arkansas - the best place to receive care and the best place to give care.
Values:
To treat others - patients and their families, visitors, physicians, and each other - as we would want to be treated.
Position Summary The role of the Precertification Manager reports to the Director of Patient Financial Access.
This position is responsible for managing the daily operations and functions of the Precertification department.
The manager coordinates with all Washington Regional sites to ensure correct precertifications are obtained for scheduled and add-on services, procedures and tests.
Essential Position Responsibilities Assist with the development of the departmental budget including appropriately managing funds through effective budgeting practices.
Interview, hire, train and evaluate staff performance on a continuous basis, and assist in resolving complex employee relations matters, as necessary.
Ensure appropriate staffing levels are maintained.
Ensure all regulatory requirements are met regarding precertification services and procedures.
Develop and maintain processes to ensure accuracy in patient insurance information and precertification information.
Develop and maintain processes to ensure medical necessity and precertification requirements are met by obtaining and reviewing clinical information.
Coordinate and facilitate processes to improve patient access and workflow throughout the hospital visit ensuring the cooperation of all modalities.
Assist with creating policies and procedures to ensure goals and objectives of the department are met.
Promote and facilitate continuous quality improvement activities and teams and makes recommendations to implement improved processes.
Communicate effectively with staff, clinics and outside agencies to ensure all needed information is received.
Analyze issues presented and ensure proper solutions are applied to remedy issues.
Provides feedback to system staff responsible for obtaining authorizations.
This may include clinic and hospital staff.
Qualifications Education:
High school diploma or GED, required.
Associates in a healthcare related field, preferred.
Licensure and Certifications:
N/A
Experience:
Minimum 2 year of precertification and clinical experience, required.
Extensive knowledge of insurance authorization processes, required.
Work Environment:
This position will spend 20% of time sitting while performing work in a standard office environment.
This position will spend 80% of time standing and/or walking while pushing, pulling, lifting, and/or carrying up to 50 lbs.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
8 Fayetteville, AR Fayetteville, AR Full-time Full-time Estimated:
$39.
9K - $50.
5K a year Estimated:
$39.
9K - $50.
5K a year 1 day ago 1 day ago 1 day ago Precertification Manager Washington Regional Medical System (the System) is our region's only locally governed, community-owned, not-for-profit healthcare system.
The System includes a 425-bed acute care hospital known as Washington Regional Medical Center (the Hospital) which is in Fayetteville, Arkansas.
The Hospital is supported by the System- including primary, specialty and urgent care operations - that span across Northwest Arkansas into Harrison and Eureka Springs.
Being heavily supported and invested in our community makes Washington Regional a unique employer, encouraging staff to give back to the community in which we live and work and give back to each other.
Washington Regional Mission, Vision and Values prove to be a firm foundation and inspiration from which we fulfill our purpose.
Mission:
Washington Regional is committed to improving the health of people in communities we serve through compassionate, high-quality care, prevention and wellness education.
Vision:
To be the leading healthcare system in Northwest Arkansas - the best place to receive care and the best place to give care.
Values:
To treat others - patients and their families, visitors, physicians, and each other - as we would want to be treated.
Position Summary The role of the Precertification Manager reports to the Director of Patient Financial Access.
This position is responsible for managing the daily operations and functions of the Precertification department.
The manager coordinates with all Washington Regional sites to ensure correct precertifications are obtained for scheduled and add-on services, procedures and tests.
Essential Position Responsibilities Assist with the development of the departmental budget including appropriately managing funds through effective budgeting practices.
Interview, hire, train and evaluate staff performance on a continuous basis, and assist in resolving complex employee relations matters, as necessary.
Ensure appropriate staffing levels are maintained.
Ensure all regulatory requirements are met regarding precertification services and procedures.
Develop and maintain processes to ensure accuracy in patient insurance information and precertification information.
Develop and maintain processes to ensure medical necessity and precertification requirements are met by obtaining and reviewing clinical information.
Coordinate and facilitate processes to improve patient access and workflow throughout the hospital visit ensuring the cooperation of all modalities.
Assist with creating policies and procedures to ensure goals and objectives of the department are met.
Promote and facilitate continuous quality improvement activities and teams and makes recommendations to implement improved processes.
Communicate effectively with staff, clinics and outside agencies to ensure all needed information is received.
Analyze issues presented and ensure proper solutions are applied to remedy issues.
Provides feedback to system staff responsible for obtaining authorizations.
This may include clinic and hospital staff.
Qualifications Education:
High school diploma or GED, required.
Associates in a healthcare related field, preferred.
Licensure and Certifications:
N/A
Experience:
Minimum 2 year of precertification and clinical experience, required.
Extensive knowledge of insurance authorization processes, required.
Work Environment:
This position will spend 20% of time sitting while performing work in a standard office environment.
This position will spend 80% of time standing and/or walking while pushing, pulling, lifting, and/or carrying up to 50 lbs.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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