Care Authorization Coordinator: Streamline Patient Approvals

Socket.dev; Glendale (CA); On-site; USD 42,000 - 63,000; Full time

Job summary

Adventist Health Glendale in Glendale, CA seeks an Insurance Authorization Specialist to obtain coverage and authorizations for uninsured patients. You will collaborate with government agencies, attorneys, physicians, and other medical professionals to monitor progress and aim to improve denial rates.

The role involves following up on accounts during the stay and at discharge, documenting information in the electronic health record, escalating disputes, and analyzing trends in disputed claims to

Qualifications

• High School Education/GED or equivalent: Preferred.
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred.
• Five years' related experience: Preferred.

Responsibilities

• Follows up on patient accounts when authorization for care or treatment is required. Faxes and sends clinical reviews.
• Follows up on each account during the stay and on discharge for authorization. Documents information in electronic health record system.
• Escalates any potential disputes or denial of accounts to management.
• Reviews trends of disputed claims by payor and/or physician, etc. Assists in obtaining authorization for patient discharged.
• Performs other job-related duties as assigned.

Education

High School Education/GED or equivalent

Associate’s/Technical Degree or equivalent

Job description

Adventist Health Glendale in Glendale, CA seeks an Insurance Authorization Specialist to obtain coverage and authorizations for uninsured patients. You will collaborate with government agencies, attorneys, physicians, and other medical professionals to monitor progress and aim to improve denial rates.

The role involves following up on accounts during the stay and at discharge, documenting information in the electronic health record, escalating disputes, and analyzing trends in disputed claims to