Job Description

Employment Type:

Full time

Shift:

Day Shift

Description:

Position is on site, local residency required

Position Purpose

This position is responsible for reviewing financial/insurance information obtained to meet State, Federal and Third-Party billing requirements to ensure reimbursement for services.

What you will do

  • Responsible for authorization and denials within Case Management ensuring appropriate authorization for inpatient hospital admissions

  • Assists in the identification, reporting and resolution of any issues stemming from or with authorization and denial processes

  • Supports the needs of the Case Management Utilization Coordinator team using data, system reports, and analytics

  • Develops and Implements strategies to optimize all aspects of authorization and d...

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