Authorization & Denials Coordinator

TriState Health•Clarkston, WA

6d•$39,520 - $63,419

About The Position

The Authorization & Denials Coordinator obtains insurance prior authorizations for scheduled medical services, diagnostic imaging, and procedures to help ensure timely access to medically necessary care. The coordinator reviews orders and supporting clinical documentation, verifies insurance authorization requirements, reviews medical policies, submits authorization requests to insurance carriers, and monitors requests through completion. The role works collaboratively with providers, clinical staff, scheduling teams, insurance companies, and other healthcare facilities to obtain required information, resolve authorization issues, and communicate authorization status. The successful candidate demonstrates strong organizational skills, attention to detail, sound judgment, and the ability to prioritize multiple tasks in a fast-paced healthcare environment.

Requirements

Associate degree in healthcare or business administration and/or related coursework, or comparable experience.
At least two years of experience in a healthcare setting performing related tasks.
Competent in the use of a computer and computer systems.
Excellent customer service skills.
Strong organizational skills, attention to detail, sound judgment, and ability to prioritize multiple tasks in a fast-paced healthcare environment.

Nice To Haves

Knowledge of medical insurance.

Responsibilities

Obtain insurance prior authorizations for scheduled medical services, diagnostic imaging, and procedures.
Review orders and supporting clinical documentation.
Verify insurance authorization requirements and review medical policies.
Submit authorization requests to insurance carriers and monitor them through completion.
Collaborate with providers, clinical staff, scheduling teams, insurance companies, and other healthcare facilities to obtain information and resolve authorization issues.
Communicate authorization status.