SUMMARY Ensures timely verification and validation of authorizations for all Commercial and Managed care inpatients and other services as assigned. Duties/Responsibilities: • Ensure timely verification and validation of authorizations for all Commercial and Managed care inpatients and other services as assigned. • Contacts insurance companies via phone or website to secure authorization. • Responsible to review all discharged managed care patients for evidence of authorization entry in the Authorization module. • Obtains missing authorizations within 3 business days of patient’s discharge or in some cases within 7 days of admission. • Responsible for checking bill hold weekly for pending authorizations. • Assists with sending delinquent reviews and resending reviews not received by the Payors. • Communicate effectively, build and maintain professional, cooperative relationships with Case Management and all departments that have direct or indirect impact on obtaining authorizations. • Maintains analysis of authorization issues, by payer. • Reports monthly summary for authorization issues to senior leadership. • Clearly documents all contacts and authorization information for all types of authorizations in the hospital system, complete standardized documentation requirements in expected format. • Follows established hospital policies and procedures regarding authorization processes. • Other duties as assigned. Education and Experience: • High school diploma or combination or relevant experience and education • Minimum of two (2) years of experience in a scheduling, authorization and referrals in a health care setting Required Skills/Abilities: • Strong attention to detail • Excellent communications skills both oral and written • Excellent follow up and follow through skills