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Auth Coordinator - Case Manager RN
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- Authorization Coordinator collaborates with Insurance verification, insurance CM, Hospital Case Manager UR/transition Planner and physicians to facilitate obtaining authorizations.
- Validates that all commercial/managed care discharges have an authorization for status and level of care provided and notifies Director of Case Management (DCM) or designee of variances
- Trend dispute/denial potential to DCM or designee by failure points in revenue cycle
- Prepare denial information for UR Committee, Denial and Revenue Cycle Meetings
- Collaborate with Patient Access, Case Management, Managed Care and Business office to improve concurrent review process to avoid denial or process delays in billing accounts
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