Demonstrate strong knowledge of insurance requirements including processing of all referrals requiring authorization based on plan & type of referral. Initiate contact w/ payers to complete insurance verification activities to prevent delays in care due to missing authorizations. Use critical thinking to troubleshoot & contact payers and patients as necessary to secure coverage & authorizations prior to services being rendered. Navigate EMR,insurance portals/protocols associated with each payer for authorization activities, including identifying & providing all relevant clinical information to support the authorization. Document all authorization related information using medical terminology appropriate to the service in the EMR to support continuity of care. Includes information gathered during the verification or authorization process. Update health record w/ accurate information regarding insurance coverage based on information gathered during verification &/or authorization process. Obtain required authorizations, pre-certifications and 2nd opinion surgical approval for inpatient/out-patient procedures for multiple service lines, depts & modalities across the continuum.  Identify/escalate barriers to obtaining authorization to the insurance company or per dept protocol. Respond to insurance company inquiries for information. Includes consent forms, pre-authorization forms, 2nd opinion forms & referral forms. Coordinates w/ providers, payers, depts, & patients regarding authorization status and options & documents outcomes in the EMR. Confirms payment coverage including the initiation of insurance & managed care authorizations. Communicates w/ providers & clinical delegates to resolve any outstanding information regarding preauth & referral requirements. Perform electronic eligibility confirmation as needed; verify insurance for encounters & visits as assigned. Completes assigned tasks in EMR work queues & brings work lists to completion.  Generates forms to insurance companies: consent , pre-authorization, second opinion and referral. Provides outcome of requested surgery/procedure order referrals to requesting MD/nurse & patient when applicable. Notify provider of denied procedure/request for peer to peer discussion with insurance company & adjust authorization status accordingly. Works independently & as part of a team in conjunction with Utilization Review/other depts as necessary  to provide appropriate clinical information from the EMR in order to appeal the denials from the insurance company to secure financial payments. Follow-up on discharge status of patients & relay information to insurance carriers as they require. Actively participates in identifying/implementing improvements of department/organizational processes to more efficiently & effectively meet business objectives & educate staff as appropriate. Accountabilities include completion of compliance requirements, achievement of productivity standards, & maintenance of competency levels/quality standards as defined by the organization.