Insurance Authorization Coordinator

Tenet Healthcare Corporation; San Antonio (TX); On-site; USD 38,000 - 54,000; Full time

Job summary

Tenet Healthcare Corporation in Texas seeks a role supporting RN Case Manager and Social Worker, focusing on authorization workflows and documentation in the electronic system.

The candidate will follow up on patient accounts, escalate disputes, track denials, and assist with authorizations for discharges to skilled facilities or post-acute care while performing other duties as assigned.

Responsibilities

• Follow up on patient accounts when authorization for stay is required.
• 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.

Job description

The individual in this position works under direction 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 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 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