The Authorization & Denials Coordinator is responsible for ensuring that payers are prepared to reimburse TriState Health for scheduled services in accordance with the payer-provider contract. The coordinator contacts payers to request service authorization(s) and may collect financial and/or demographic information from patients as needed.
The Authorization & Denials Coordinator serves fellow authorization/denials clerks through demonstrating an outstanding work ethic superior technical knowledge and concern for the values and mission of Tri-State Memorial Hospital. Additionally authorization and denials coordinator will review denials for medical necessity authorization concerns and/or coverage-related issues and complete appeals process.
Education:
- Associate degree in healthcare or business administration and/or related coursework or comparable experience.
Experience:
- At least two years of experience in a healthcare setting performing related tasks.
- Knowledge of medical insurance preferred.
Skills and Abilities:
- Competent in the use of a computer and computer systems.
- Excellent customer service skills.
Benefits Summary:
- Paid Time Off
- Medical Dental and Vision
- Flexible Health Spending Account and Dependent Care Spending Account
- Retirement - 403(b) with matching contributions
- Employee Assistance Program
- Tuition Reimbursement
- Life Insurance
- Employee Wellness Program
Required Experience:
IC
The Authorization & Denials Coordinator is responsible for ensuring that payers are prepared to reimburse TriState Health for scheduled services in accordance with the payer-provider contract. The coordinator contacts payers to request service authorization(s) and may collect financial and/or demogr...
The Authorization & Denials Coordinator is responsible for ensuring that payers are prepared to reimburse TriState Health for scheduled services in accordance with the payer-provider contract. The coordinator contacts payers to request service authorization(s) and may collect financial and/or demographic information from patients as needed.
The Authorization & Denials Coordinator serves fellow authorization/denials clerks through demonstrating an outstanding work ethic superior technical knowledge and concern for the values and mission of Tri-State Memorial Hospital. Additionally authorization and denials coordinator will review denials for medical necessity authorization concerns and/or coverage-related issues and complete appeals process.
Education:
- Associate degree in healthcare or business administration and/or related coursework or comparable experience.
Experience:
- At least two years of experience in a healthcare setting performing related tasks.
- Knowledge of medical insurance preferred.
Skills and Abilities:
- Competent in the use of a computer and computer systems.
- Excellent customer service skills.
Benefits Summary:
- Paid Time Off
- Medical Dental and Vision
- Flexible Health Spending Account and Dependent Care Spending Account
- Retirement - 403(b) with matching contributions
- Employee Assistance Program
- Tuition Reimbursement
- Life Insurance
- Employee Wellness Program
Required Experience:
IC
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