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University of Mary
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Authorization Cord
The individual in this position works under the 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)
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