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La Frontera EMPACT-SPC

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Laredo, Texas

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Napa, California

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Authorization Coordinator Case Management. 40hrs Days. FUH
Summary 1. The individual in this position works under direction of Social Worker or Case Manager RN. 2. The individual�s responsibilities include but not limited to the following actions: 3. Follow up on patient accounts for when authorization for stay is required 4. Fax numbers to Send clinical reviews 5. Follow up on each account during the stay and on discharge for authorization - document in the electronic system 6. Escalate any potential disputes or denial of accounts to director of Case Management or designee 7. 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 authoriza

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