• Collaborate with hospital marketers to ensure patients are well taken care of • Coordinate with the clinical team to confirm that necessary medical services are in place before accepting patient referrals • Manage the referral process and maintain accurate, up-to-date patient documentation

• Obtain initial and continued stay authorizations from Managed Care Organizations (MCOs), Medicare Advantage plans, and other third-party payers • Monitor authorization status, track expiration dates, and submit timely extension requests to prevent coverage gaps • Collaborate with nursing, therapy, admissions, and case management teams to gather clinical documentation required for authorization requests • Maintain accurate authorization records and supporting documentation within the facility's systems • Communicate with insurance companies regarding authorization determinations, requests for additional information, and coverage updates • Review payer requirements and ensure compliance with authorization guidelines and policies • Escalate authorization denials and coordinate with appropriate teams to support reconsiderations or appeals • Assist in identifying authorization-related trends, issues, and opportunities for process improvement • Support revenue cycle objectives by helping ensure services are authorized and reimbursable

• Assist with systematic literature reviews and evidence synthesis across a range of healthcare topics • Contribute to the design and implementation of health economic models • Help interpret and communicate both quantitative and qualitative findings to internal and external stakeholders • Support the development of memos, reports, evidence tables, presentations, and peer-reviewed publications • Participate in client-facing meetings and provide administrative support for ongoing projects • Collaborate with leadership to enhance internal workflows and operational efficiency • Research and recommend optimal methodologies and implementation strategies • Maintain and update tools and documentation to align with best practices

• Remain actively logged into on-call telephone queues as assigned in order to fulfill duties. • Use frontline customer service skills to generally determine the prevailing needs of clients and what they require from EAP services. • Screen for safety issues, domestic violence (DV), substance abuse, and other high-risk considerations, and connects clients immediately to on-call counselors when needed. • Completes EAP Intake Forms in the EAP Expert database system. • Assign EAP staff or affiliates to client cases when appropriate. • Serve a primary role in connecting clients to affiliate providers in their geographic area, or to EAP staff professionals for services. • Provide general information and referrals to subject matter experts in areas such as legal concerns, financial issues, and work-life challenges. • Demonstrate sensitivity to the unique confidentiality and customer service needs of both member employee and dependent clients, and employer-customer clients.