Authorization and Reimbursement Specialist
4 days ago
The Authorization and Reimbursement Specialist plays a crucial role in ensuring that payers are prepared to reimburse Tri-State Health for scheduled services in accordance with the payer-provider contract.
The specialist contacts payers to request service authorization(s) and may collect financial and/or demographic information from patients as needed.
The Authorization and Reimbursement Specialist 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, the specialist will review denials for medical necessity, authorization concerns, and/or coverage-related issues and complete the appeals process.
Requirements:
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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