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Posted May 4, 2026

[Hiring] Prior Authorization Role RCM @BJC HealthCare

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Role Description This role is critical in the financial clearance process which assists BJC hospitals enterprise wide in securing the appropriate authorization and/or Notice Of Admission (NOA) in order to prevent rescheduling the patient or risking net revenue loss. • Obtain authorization on behalf of some physicians at Washington U school of medicine and BJC medical group • Maintain positive relationships • Ensure technology supports the scripting and validation of authorization and NOA • Represent BJC with the highest standard of customer service and compassion • Facilitate components of the patients' entrance into any BJC facility, including insurance validation, benefit verification, pre-certification & financial clearance • Ensure accurate patient data is obtained and populated into the patient record, particularly authorization data and status • Possess exceptional attention to detail & maintain knowledge & competence with insurance carriers, Medicare guidelines & federal, state & accreditation agencies Qualifications • High School Diploma or GED • 2-5 years of experience Requirements • Associate's Degree (preferred) • 5-10 years of experience (preferred) • CHAA certification (preferred) Benefits • Comprehensive medical, dental, vision, life insurance, and legal services available first day of the month after hire date • Disability insurance paid for by BJC • Annual 4% BJC Automatic Retirement Contribution • 401(k) plan with BJC match • Tuition Assistance available on first day • BJC Institute for Learning and Development • Health Care and Dependent Care Flexible Spending Accounts • Paid Time Off benefit combines vacation, sick days, holidays and personal time • Adoption assistance
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