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JOB SUMMARY
Authorization Coordinator collaborates with Insurance verification, insurance CM, Hospital Case Manager UR/transition Planner and physicians to facilitate obtaining authorizations. The individual’s responsibilities include but are not limited to the following actions : a) Follow up on patient accounts when authorization for stay is required , Fax numbers to Send clinical reviews b) Follow up on each account during the stay and on discharge for authorization - document in the electronic system, c) Escalate any potential disputes or denial of accounts to Director of Case Management or designee d) Trends disputed e) Coordination of concurrent denials/preparation for appeal for retrospective denials f) other duties as assigned
DUTIES AND RESPONSIBILITIES
Essential Job Duties
PROFESSIONAL REQUIREMENTS
REGULATORY REQUIREMENTS
LANGUAGE SKILLS
SKILLS
PHYSICAL DEMANDS
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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Full Time
$85k-102k (estimate)
05/10/2024
05/29/2024