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Authorization Coordinator Full Time Days

  • Job ID 1905041128
  • Date posted 10/18/2019
  • Facility Hilton Head Hospital
Description:

The individual in this position works under direction of Social Worker or Case Manager RN.
The individual s responsibilities include but not limited to the following actions:
Follow up on patient accounts for when authorization for stay is required
Fax numbers to Send clinical reviews
Follow up on each account during the stay and on discharge for authorization - document in the electronic system
Escalate any potential disputes or denial of accounts to director of Case Management or designee
Trends disputed claims by at least payor and physician (e assist in obtaining authorization for patient discharged to Skilled Facilities or other post acute care that require authorization)
Trend by payor and service any authorization not obtained by end of day
Trend and Track on denial prevention




Qualifications:


Education


Required: High School Graduate or equivalent
Preferred: Associates or Bachelor s degree


Experience


Required: Two (2) years of experience in clerical or healthcare field.
Preferred: Acute hospital experience.


Certifications


Preferred: Paramedic, EMT or Certified Nursing Assistant


Job: Non-Clinical/Administrative
Primary Location: Hilton Head, South Carolina
Facility: Hilton Head Hospital
Job Type: Full-time
Shift Type: Days

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

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