Authorization Specialist Ortho/Spine Office

Trinity Health

103d • $19 - $27

About The Position

The position involves reviewing, analyzing, and interpreting complex medical information, applying specific knowledge of coding requirements and conventions to correctly classify, code, and abstract health information. The role focuses on monitoring expirations of referrals, verifying insurance updates prior to procedures, and supporting authorization and denial processes. The position requires collaboration with medical staff and other clinical services staff.

Requirements

• Certified Coding Specialist, Accredited Record Technician (or eligible), Registered Record Administrator (or eligible), or Licensed Practical Nurse (LPN) with a minimum of 5 years’ experience in an appropriate health care setting.
• Background in referrals, denials, and/or authorization processes is ideal.
• Working knowledge of ICD-9-CM, CPT & E & M coding conventions as applicable.
• Excellent communication skills, both oral and written.
• Good interpersonal skills.
• Ability to work with confidential material in a responsible manner.
• Customer service orientation.

Responsibilities

• Review records for information regarding diagnoses and procedures performed.
• Use established coding/classification systems to accurately code diagnoses, procedures, and evaluation and management.
• Abstract data and perform data entry.
• Work closely with referrals, authorizations, and denial teams.
• Interact with medical and clinical services staff in a positive and professional manner.
• Educate staff as needed.
• Complete state-specific registry abstracts as required.
• Meet established quality/productivity standards.
• Maintain certification/credentialing.
• Adhere to established hospital policy and procedure related to job functions.
• Maintain confidentiality related to patients, staff, and visitors.

Benefits

• Equal Opportunity Employer
• Investment in community through charity care and other community benefit programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees