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Prior Authorization Specialist (RN, LPN)
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- Prior Authorization Specialist/ Payor Relations Specialist ( RN , LPN )
- Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute Inpatient Rehabilitation Hospital.
- Obtains timely authorization of all patients requiring pre-certification and is accountable for conversion percentage and results.
- Ensures all policies governing commercial pre-certification and authorization are followed to minimize financial risk.
- This may include identifying relationship opportunities for self and others within Select Medical to include but not limited to CEO, DBD, CLs, Admissions Coordinator and Case Management team that may help grow relationships and impact results.
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