Reviewing medical charts via EMR for pertinent and appropriate medical necessity to meet guidelines for admission, discussed cases with Medical Director for denials, approvals, etc and appropriate documentation. Responsible for obtaining financial approval, auth's and other abilities of payment to facility. Seasoned with Medicare, Medicaid and all commercial and HMO's policies and guidelines for medical necessity requirements for admission and continued stays. Strong ability to communicate effectively telephonically, face to face and electronically.