Auth Coordinator - Case Mngt - Los Alamitos - Per Diem Days
About The Position
Position Summary: The individual in this position works under the director of RN Case Manager and/or Social Worker. The individual’s responsibilities include but are not limited to the following actions: A) Follow up on patient accounts when authorization for stay; fax numbers to send clinical reviews. B) Follow up on each account during the stay and on discharge for authorization – document in the electronic system. C) Escalate any potential disputes or denial of accounts to Director of Case Management or designee. D) Trends disputed claims by at least payor and physician. E) assist in obtaining authorization for patient discharged to Skilled Facilities or other post-acute care that require authorization. F) Other duties as assigned.
Requirements
- High School Diploma or equivalent required
- Excellent organizational skills
- Excellent verbal and written communication skills
- Demonstrated problem solving skills
- Computer Literacy
- Attendance at hospital and department orientation is required
- Department orientation includes review and instruction regarding Case Management and Compliance Policies, Case Management Documentation and referral system and clerical support duties specific to case management.
- Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
- Must demonstrate customer service skills appropriate to the job
- Excellent written and verbal communication skills in English
- Ability to maintain a work pace appropriate to the workload
- Ability to establish and maintain effective working relationships across the Health System
Nice To Haves
- Associate or Bachelor’s degree
- Paramedic, EMT, or Nursing Assistant Certification
- Acute hospital experience preferred
- Data Analytic Skills preferred
- Knowledge of University and medical center organizations, policies, procedures and forms
Responsibilities
- Follow up on patient accounts when authorization for stay; fax numbers to send clinical reviews.
- Follow up on each account during the stay and on discharge for authorization – document in the electronic system.
- Escalate any potential disputes or denial of accounts to Director of Case Management or designee.
- Trends disputed claims by at least payor and physician.
- Assist in obtaining authorization for patient discharged to Skilled Facilities or other post-acute care that require authorization.
- Other duties as assigned.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
101-250 employees
