Health insurance and authorization representative iii

Manages and provides financial account management for all urgent, emergent, and pre-admission visits with a Surgery Admit and Inpatient/Outpatient levels of care. Coordinates all activities necessary to financially secure the defined case load through verifying insurances, requesting deposits for non-covered services and co-pays. Identifies complex problems, including but not limited to, authorizations, coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage issues. Communicates, collaborates, and follows-up with patients, families, third-party payers, governmental agencies, employers, social work, financial case management, clinical team and contracting. Minimizes any delays from admission until the final bill is produced and any payer denials associated with the above.