Authorization & Denials Coordinator
About The Position
The Authorization & Denials Coordinator obtains insurance prior authorizations for scheduled medical services, diagnostic imaging, and procedures to help patients receive timely access to medically necessary care. The role 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 coordinator 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 role calls for strong organizational skills, attention to detail, sound judgment, and the ability to prioritize multiple tasks in a fast-paced healthcare environment. TriState Health is a not-for-profit, community-owned and operated critical access hospital and medical campus serving an eight-county region in Washington, Idaho, and Oregon. Its stated mission is “Your Health Is Our First Priority!”
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.
- Competence using computers 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 required information.
- Resolve authorization issues and communicate authorization status.
Benefits
- Paid Time Off
- Paid Sick Leave
- 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
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
