Payer & Authorization Specialist

Trilogy Health Services, LLC; Louisville (KY); On-site; USD 48,000 - 64,000; Full time

Benefits offered by this job

Weekly pay

Health and dental after 1 month

Student loan repayment

401(k) match

Job summary

Trilogy Health Services, based in Louisville, KY, is seeking a Payer Services Specialist to handle prior authorizations, recertifications, and insurance verifications for admissions and therapy services. The role supports timely authorizations, campus education, and coordination with payers to minimize denials and ensure reimbursement.

The position involves coordinating resident access to services, researching eligibility issues, and maintaining accurate data in MatrixCare.

Qualifications

• Experience in centralized eligibility and prior authorization.
• Familiarity with billing and revenue cycle processes.

Responsibilities

• Perform tasks in centralized eligibility, prior authorization intake, or recertification as assigned.
• Provide education on authorization and benefit eligibility to campuses.
• Research denials and assist in troubleshooting eligibility processes.
• Verify patient insurance benefits, demographics, and authorization requirements.
• Initiate online verifications or contact carriers to validate coverage.
• Complete Preadmission Financial Verification prior to admission.
• Communicate requirements to campus teams and ensure MatrixCare setup is correct.
• Negotiate case-specific payment arrangements with payers as needed.
• Assist in escalating payer issues and document process audits.

Skills

Prior authorization

Eligibility verification

Renewal processing

Communication with campuses

Education

High School diploma

Bachelor’s degree preferred

Tools

MatrixCare

Job description

Trilogy Health Services, based in Louisville, KY, is seeking a Payer Services Specialist to handle prior authorizations, recertifications, and insurance verifications for admissions and therapy services. The role supports timely authorizations, campus education, and coordination with payers to minimize denials and ensure reimbursement.

The position involves coordinating resident access to services, researching eligibility issues, and maintaining accurate data in MatrixCare.