TriState Health
Authorization & Denials Coordinator - Full Time
TriState Health, Clarkston, Washington, United States, 99403
Authorization & Denials Coordinator - Full Time
The Authorization & Denials Coordinator is responsible for ensuring that payers are prepared to reimburse TriState Health for scheduled services in accordance with the payer-provider contract. The coordinator contacts payers to request service authorization(s) and may collect financial and/or demographic information from patients as needed. The Authorization & Denials Coordinator serves fellow authorization/denials clerks through demonstrating an outstanding work ethic, superior technical knowledge and concern for the values and mission of Tri-State Memorial Hospital. Additionally, the authorization and denials coordinator will review denials for medical necessity, authorization concerns, and/or coverage-related issues and complete appeals process. Education
: Associate degree in healthcare or business administration and/or related coursework, or comparable experience. Experience
: At least two years of experience in a healthcare setting performing related tasks. Knowledge of medical insurance preferred. Skills and Abilities: Competent in the use of a computer and computer systems. Excellent customer service skills. Benefits Summary: Paid Time Off Medical, Dental and Vision Flexible Health Spending Account and Dependent Care Spending Account Retirement - 403(b) with matching contributions Employee Assistance Program Tuition Reimbursement Life Insurance Employee Wellness Program Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
The Authorization & Denials Coordinator is responsible for ensuring that payers are prepared to reimburse TriState Health for scheduled services in accordance with the payer-provider contract. The coordinator contacts payers to request service authorization(s) and may collect financial and/or demographic information from patients as needed. The Authorization & Denials Coordinator serves fellow authorization/denials clerks through demonstrating an outstanding work ethic, superior technical knowledge and concern for the values and mission of Tri-State Memorial Hospital. Additionally, the authorization and denials coordinator will review denials for medical necessity, authorization concerns, and/or coverage-related issues and complete appeals process. Education
: Associate degree in healthcare or business administration and/or related coursework, or comparable experience. Experience
: At least two years of experience in a healthcare setting performing related tasks. Knowledge of medical insurance preferred. Skills and Abilities: Competent in the use of a computer and computer systems. Excellent customer service skills. Benefits Summary: Paid Time Off Medical, Dental and Vision Flexible Health Spending Account and Dependent Care Spending Account Retirement - 403(b) with matching contributions Employee Assistance Program Tuition Reimbursement Life Insurance Employee Wellness Program Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.