Health Insurance & Authorization Representative III

The individual in this position manages and provides financial account management for all assigned caseloads. Accountable for coordinating all activities necessary to financially secure the defined accounts through verifying insurances, requesting deposits for non-covered services and co-pays. Identifies complex problems that include but are not limited to authorizations, coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage issues. This role involves in-depth communication, collaboration, and follow-up with patients, families, third-party payers, governmental agencies, employers, social work, financial case management, clinical team and contracting. The Health Insurance & Auth Rep is ultimately responsible for minimizing any delays from admission/arrival until the final bill is produced and any payer denials associated with the above.