• Responsible for performing initial and concurrent insurance authorization securement, clinical submission and denial prevention for all patients admitted to the hospital for clients. • Confirm that a patient’s health insurance(s) is active and covers the patient’s procedure; may be completed multiple times during, and after a patient’s visit/stay. • Confirm what benefits of a patient’s upcoming visit/stay are covered by the patient’s insurance(s) including exact coverage, effective date of the policy, coverage limitations / requirements, and patient liabilities for the type of service(s) provided. • Check benefits to determine deductible, coinsurance, and copayment amounts due. • Ensure payer requirements including verify and document insurance eligibility; confirm and document benefits. • Review and submission of clinical documentation to ensure the treatment/services are appropriate for the diagnosis as determined. • Obtain and verify that insurance authorizations are obtained and maintained on designated patients. • Ensure that initial and all subsequent authorizations are obtained in a timely manner. • Work to reduce and eliminate authorization denials. • Review and analyze patient visit information to determine whether authorization is needed and understand payor specific criteria to appropriate secure authorization and provide clinical to support medical necessity. • Ensure that services provided to eligible members are within benefit plan and appropriate contracted providers are being utilized. • Responsible for reviewing visit data to ensure appropriate and accurate information is provided to the payor to support the authorization request and follow-up timely.