**Responsibilities** + Receives, sends and documents payer requests for clinical documentation. + Receives and documents payer authorization and communications including but not limited to concurrent denials. + Coordination of peer to peer conversations, as applicable. + Reviews surgery schedule to verify correct authorization is documented, if applicable. + Identifies accounts lacking authorization and follows up with payers, as needed. + Communicates with interdepartmental staff regarding payer documentation requests. + Under RN direction submits requests for and follows up on administrative days authorization, where indicated. + Identifies and reports trends to department Leadership. + Utilizes payer related reports from Care Management software, where applicable. + Collaborates with and supports the UM team including but not limited to UR and Denials RN. + Contributes to the identification of opportunities for process improvement. + Supports administrative departmental functions, as assigned. **Qualifications** **Required** + Minimum one year experience in a hospital, physician’s office, or medical group performing duties related to admitting, business office, payer communications or managed care or an equivalent combination of education and experience + High school diploma or GED required **Preferred** + An understanding of operations and functions of care coordination, utilization management, denials mitigation is preferred. **Overview** CHI Health Immanuel, located in North Omaha just off of I-680 on 72nd Street, offers a full-service hospital, cancer center, rehabilitation center, specialty spine hospital and more. For well over a century, our commitment to serve our community inspires our staff to provide the highest quality of care to all who we have the privilege to serve. **Pay Range** $18.74 - $25.77 /hour We are an equal opportunity/affirmative action employer.