Authorization & Denials Coordinator - Full Time

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profile Job Location:

Clarkston - USA

profile Monthly Salary: Not Disclosed
Posted on: 30+ days ago
Vacancies: 1 Vacancy

Job Summary

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...
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Key Skills

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About Company

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Tri-State Memorial Hospital is now TriState Health. Find a Provider Pay My Bill Make a Donation Health Portal Careers Welcome to a better state of health. You may have noticed our new name! Learn about our history and the evolution to TriState Health. Establish Primary Care When you c ... View more

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