The individual in this position works under direction of Social Worker or Case Manager RN.
The individualâ��s responsibilities include but not limited to the following actions:
Follow up on patient accounts for 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 (e assist in obtaining authorization for patient
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