• Patient Authorization And Denials Specialist

    Trinity Health (Hartford, CT)


    Employment Type:

    Full time

    Shift:

    Day Shift

    Description:

    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.

    What you will do

    + 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

    Minimum Qualifications

    + 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 Highlights and Benefits

    + Full time 40-hour week - includes every other weekend and rotating Holidays. Pay Differentials will apply!

    + Position is on site, local residency required

    + Great benefits and Health Insurance Coverage - Day 1

     

    Ministry/Facility Information

     

    Saint Francis Hospital is committed to exceeding the expectations of our patients and families by providing world-class service in a progressive, people-centered, compassionate health care environment. We are licensed for 617 beds and 65 bassinets, are a major teaching hospital and the largest Catholic hospital in New England.

     

    Our Commitment

     

    Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

    Our Commitment to Diversity and Inclusion

    Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

     

    Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

     

    EOE including disability/veteran