Authorization & Denials Specialist - Case Management

Trinity Health; United States; On-site; USD 29,000 - 44,000; Part time

Benefits offered by this job

Medical coverage

Dental coverage

Prescription drug coverage

Vision coverage

Retirement match

Paid time off & holidays

Tuition reimbursement

Life & AD&D insurance

Well-being program

Career growth opportunities

Job summary

SaintFrancis Hospital, part of Trinity Health Of New England, is seeking a case management professional to optimize authorization and denials for inpatient admissions. You will review billing information, support the Utilization Coordinator team with data, and ensure compliance with state and federal requirements.

The role emphasizes analytical skills, customer service, and collaboration across departments.

Qualifications

• Associate degree with 1–2 years healthcare experience.
• Or HS diploma/GED with 5+ years healthcare experience.
• Medical billing or insurance authorization experience preferred.
• Excellent customer service and professional communication required.

Responsibilities

• Authorize inpatient admissions and manage denials.
• Identify and resolve issues in authorization/denial processes.
• Support Utilization Coordinator team with data and analytics.
• Develop and implement strategies to optimize authorization/denial processes.

Skills

Customer service

Professional communication

Education

Associate degree

HS diploma + 5+ years healthcare experience

Job description

SaintFrancis Hospital, part of Trinity Health Of New England, is seeking a case management professional to optimize authorization and denials for inpatient admissions. You will review billing information, support the Utilization Coordinator team with data, and ensure compliance with state and federal requirements.

The role emphasizes analytical skills, customer service, and collaboration across departments.