Authorization Coordinator

Authorization Coordinator

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Position Summary: The individual in this position works under direction of Case Manager/UR RN or Social Worker with a primary role of supporting the daily operations of the UR team through the completion of various administrative duties. The responsibilities include but are not limited to:

• Index, process, and document the incoming payer faxes containing authorization, requests for clinical information, denials, or other notices
• Follow up (by phone or by accessing Payer Portals) during the stay or post discharge on patient accounts requiring authorization for the stay and or days approved and document the information in the designated electronic system
• Obtain or confirm, as necessary, the payer fax numbers needed to submit clinical reviews
• Follow up during the stay and on or after discharge with the submission of clinical...