PATIENT AUTHORIZATION AND DENIALS SPECIALIST

Trinity Health Of New England; Hartford (CT); On-site; USD 29,000 - 44,000; Full time

Benefits offered by this job

Medical and dental coverage

Vision coverage

Retirement with employer match

Paid time off

Tuition reimbursement

Job summary

Trinity Health Of New England is seeking a Case Management Authorization Specialist to review financial/insurance information to ensure reimbursement for services. This on-site role in Hartford requires local residency and a full-time schedule.

You will authorize inpatient admissions, assist in denial resolution, and support the Utilization Coordinator team using data, system reports, and analytics to optimize revenue integrity.

Qualifications

• Associate degree with 1–2 years healthcare experience, or high school diploma with 5+ years healthcare experience.
• Medical billing or insurance authorization experience preferred.
• Excellent customer service and professional communication required.

Responsibilities

• Authorize and manage denials for inpatient admissions.
• Identify, report, and resolve issues in authorization/denial processes.
• Support Case Management Utilization Coordinator team with data, reports, and analytics.
• Develop and implement strategies to optimize authorization and denials for revenue integrity.

Skills

Customer service

Communication

Healthcare experience

Education

Associate degree

High school diploma / GED

Job description

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 one to two (1 – 2) years of healthcare experience required, or, in lieu of an Associate degree, a high school diploma/GED and five (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

At Trinity Health Of New England, we understand that the success of our organization is directly related to our hardworking, compassionate, and dedicated colleagues who contribute their time and skills to help transform healthcare. That's why we've compiled a competitive, comprehensive compensation and benefits package that offers our colleagues protection and peace of mind, both at home and at work.

Pay Range: $21.35 - $32.05 per hour

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Our comprehensive benefits package includes:

• Medical, Dental, Prescription Drug and Vision Coverage
• Retirement Savings Program with Employer Match
• Time Off - may include Paid Time Off, Vacation, Sick Time and Holidays
• Tuition Reimbursement and Professional Development Opportunities
• Basic and Supplemental Life and AD&D Insurance
• Well-being Initiative
• Career Growth and Advancement Opportunities within Trinity Health

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

Trinity Health Of New England is an integrated health care delivery system that is comprised of world-class providers and facilities dedicated to full spectrum preventative, acute, and post-acute care. We aim to deliver top level care to increase our community's overall health at lower costs. While we serve nearly 3 million people, we are proud to be a part of a national system that focuses on putting our patients first and having the best colleagues to do so.

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.