PATIENT AUTHORIZATION AND DENIALS SPECIALIST
Trinity Health•Hartford, CT
6d•Onsite
About The Position
Position is on site, local residency required Position Purpose This position is responsible for reviewing financial/insurance information obtained to meet State, Federal and Third-Party billing requirements to ensure reimbursement for services.
Requirements
- Associate degree and 1–2 years of healthcare experience required, or, in lieu of an Associate degree, a high school diploma/GED and 5 or more years of healthcare experience will be considered
- Medical billing or insurance authorization experience preferred
- Excellent customer service skills and the ability to communicate professionally required
- Position is on site, local residency required
Nice To Haves
- Medical billing or insurance authorization experience preferred
Responsibilities
- Responsible for authorization and denials within Case Management ensuring appropriate authorization for inpatient hospital admissions
- Assists in the identification, reporting and resolution of any issues stemming from or with authorization and denial processes
- Supports the needs of the Case Management Utilization Coordinator team using data, system reports, and analytics
- Develops and Implements strategies to optimize all aspects of authorization and denials supporting hospital revenue integrity team through a comprehensive approach
Benefits
- Full time 40-hour week - includes every other weekend and rotating Holidays.
- Pay Differentials will apply!
- Great benefits and Health Insurance Coverage - Day 1
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
