Per Diem Authorization & Denials Specialist

Trinity Health; Hartford (CT); In loco; USD 29.000 - 44.000; Part-time

Vantaggi offerti da questo lavoro

Medical, Dental, Vision

Retirement Savings with EmployerMatch

Paid Time Off

Tuition Reimbursement/Development

Life and AD&D Insurance

Well-being Initiative

Descrizione del lavoro

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.

Competenze

• 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.

Mansioni

• 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.

Conoscenze

Healthcare experience

Medical billing/authorization

Customer service

Formazione

Associate degree

High school diploma or GED

Descrizione del lavoro

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.