On-site Revenue Integrity: Authorization & Denials Specialist

Trinity Health; Hartford (CT); On-site; USD 44,000 - 67,000; Full time

Benefits offered by this job

Medical, Dental, Vision Coverage

Retirement Savings Program with Match

Paid Time Off

Tuition Reimbursement

Life and AD&D Insurance

Well-being Initiative

Career Growth Opportunities

Job summary

Trinity Health Of New England is seeking a full-time on-site professional to review financial/insurance information, ensuring proper authorization for inpatient admissions and optimal revenue integrity. The role emphasizes collaboration with the Case Management Utilization Coordinator team using data and analytics.

Requirements include an associate degree with 1–2 years in healthcare, or equivalent HS diploma with 5+ years of experience; medical billing/authorization experience is preferred,

Qualifications

• Minimum 1–2 years healthcare experience with Associate degree.
• Alternative: 5+ years healthcare experience with a HS diploma/GED.
• Experience in medical billing or authorization is preferred.

Responsibilities

• Review and ensure appropriate authorization for inpatient admissions.
• Identify, report, and resolve issues in authorization/denial processes.
• Support case management with data, reports, and analytics.
• Develop and implement strategies to optimize authorization and denials for revenue integrity.

Skills

Medical billing

Insurance authorization

Customer service

Education

Associate degree

High school diploma/GED

Job description

Trinity Health Of New England is seeking a full-time on-site professional to review financial/insurance information, ensuring proper authorization for inpatient admissions and optimal revenue integrity. The role emphasizes collaboration with the Case Management Utilization Coordinator team using data and analytics.

Requirements include an associate degree with 1–2 years in healthcare, or equivalent HS diploma with 5+ years of experience; medical billing/authorization experience is preferred,