Authorization Coordinator Full Time Days
- Job ID 1905041128
- Date posted 10/18/2019
- Facility Hilton Head Hospital
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
Required: High School Graduate or
Preferred: Associates or Bachelor s degree
Required: Two (2) years of experience in
clerical or healthcare field.
Preferred: Acute hospital experience.
Preferred: Paramedic, EMT or Certified Nursing Assistant
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