What are the responsibilities and job description for the Authorization Representative position at SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL?
SCHEDULE: Full-time; 36 hours per week; 4 days per week; Monday, Tuesday, Thursday, Friday; 7:00 am - 4:30 pm
Responsible for maintaining referral and authorization records, obtaining authorizations, scheduling visits and ensures all visits are linked to referrals as required by insurance companies and the electronic health record. Assists with "on the fly" authorizations for services that are changed at time of service. Contacts patients for updated insurance information, where applicable and coordinates with the financial advocates when needed for all patients, including self-pay or out of network estimates. Prepares reports of activity as requested by management. Performs financial reviews and calculations based upon information received from the insurance company, assists with logistical and/or clerical problem resolution related to the patient's medical record, authorization and billing issues.