Authorization & Denials Coordinator - Full Time

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 :

Skills and Abilities :

Benefits Summary :

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.