Patient Authorization and Denials Specialist Pd

Trinity Health; Hartford (CT); Presencial; USD 29.000 - 44.000; A tiempo parcial

Ventajas ofrecidas por este puesto de trabajo

Medical, Dental, Vision

Retirement Savings with EmployerMatch

Paid Time Off

Tuition Reimbursement/Development

Life and AD&D Insurance

Well-being Initiative

Descripción de la vacante

Saint Francis Hospital, a member of Trinity Health Of New England, seeks a per diem Case Management professional for daytime shifts in Hartford. You will review financial/insurance data to meet billing rules and ensure reimbursement for services.

You will handle authorizations and denials for inpatient admissions, support the utilization team with data and analytics, and help optimize processes to protect hospital revenue integrity.

Formación

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

Responsabilidades

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

Conocimientos

Healthcare experience

Medical billing/authorization

Customer service

Educación

Associate degree

High school diploma or GED

Descripción del empleo

Employment Type

Part time

Shift

Day Shift

Description

Come join our team in Case Management at Saint Francis Hospital, a member of Trinity Health Of New England! 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

Position Highlights and Benefits

Per diem

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

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.