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Baylor Scott & White Medical Center - Sunnyvale is seeking an Authorization Coordinator that collaborates with Insurance verification, insurance CM, Hospital Case Manager UR/transition Planner and physicians to facilitate obtaining authorizations. The individual's responsibilities include but are not limited to the following actions: a) Follow up on patient accounts when authorization for stay is required, 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 e) Coordination of concurrent denials/preparation for appeal for retrospective denials f) other duties as assigned.
