PATIENT AUTHORIZATION AND DENIALS SPECIALIST PD

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

Benefits offered by this job

Per diem

Medical, Dental, Prescription Drug and

Vision Coverage

Tuition Reimbursement and Professional

Job summary

Saint Francis Hospital, part of Trinity Health Of New England, seeks a Case Management professional to review financial and insurance information to ensure proper reimbursement for services. The role focuses on authorization and denials for inpatient admissions, supporting analytics, and implementing strategies to optimize workflows.

Per diem position with day shift responsibilities. Minimum qualifications include an associate degree with 1–2 years health care experience or a higher school

Qualifications

• Associate degree and 1–2 years healthcare experience required, 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 admissions and denials to ensure proper authorization for inpatient hospital stays.
• Identify, report, and help resolve issues in authorization and denial processes.
• Support the Case Management Utilization Coordinator team with data, reports, and analytics.
• Develop strategies to optimize authorization and denial workflows to protect hospital revenue integrity.

Skills

Customer service

Communication

Education

Associate degree

High school diploma or GED

Job description

Employment Type:Part timeShift:Day ShiftDescription: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.