Authorization Coordinator, Full Time, Day Shift and flexible weekend

Job Description

Job Description

Position Summary:

The individual in this position works under direction of RN Case Manager and/or Social Worker. 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
• Assist in obtaining authorization for patient discharged to Skilled Facilities or other post-acute care that require authorization
• Other duties as assigned.

Position Qualification:

• High School diploma or equivalent required. Associate or Bachelor's degree preferred.
• Paramedic, EMT or Nursing Assistant license preferred.
• Acute hospital experience preferred.
• Skills required include excellent organizational skills, excellent verbal and written communication skills, demonstrated problem solving skills, and computer literacy. Data Analytic skills preferred

Must clear background and drug test required.