a) Follow up on patient accounts for 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) Trend by payor and service any authorization not obtained by end of day
g) Trend and Track on denial prevention
h) Other duties as assigned.
2305034900
Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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