Authorization & Denials Coordinator, Full Time
3 weeks ago
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 clerk 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.
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