Trinity Health
Authorization Specialist- Albany, NY- FT - Remote
Trinity Health, New York, New York, us, 10261
Why consider this job opportunity
Salary up to $25.85 per hour
Opportunity for career advancement and growth within the organization
Work remotely with flexible hours, Monday to Friday
Supportive and collaborative work environment focused on patient-centered care
Chance to work with a central team dedicated to improving surgical authorization processes
What to Expect (Job Responsibilities)
Submit and obtain authorization requests for surgical services performed by physicians
Maintain expertise on authorization requirements by payer and order type
Monitor authorization work queues for pending or expiring authorizations
Initiate Peer to Peer communication with payers to support reimbursement needs
Troubleshoot authorization denials and work to overturn payer-related issues
What is Required (Qualifications)
High School Diploma or equivalent required; Associate degree preferred
Minimum of three years’ experience in a healthcare environment, preferably with prior authorization experience
Strong understanding of HIPAA laws and requirements
Knowledge of managed care, third‑party payer benefits, and reimbursement requirements
Proficient in Microsoft Office applications; experience with EPIC or comparable EMR systems preferred
How to Stand Out (Preferred Qualifications)
Certification in CCS, CCS‑P, CPC, or specialty coding
Previous medical office experience
Two years of experience in reviewing medical records for National Coverage Determinations (NCD) and Local Coverage Determinations (LCD)
Strong analytical skills with attention to detail
Demonstrated experience in delivering successful customer service
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
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Salary up to $25.85 per hour
Opportunity for career advancement and growth within the organization
Work remotely with flexible hours, Monday to Friday
Supportive and collaborative work environment focused on patient-centered care
Chance to work with a central team dedicated to improving surgical authorization processes
What to Expect (Job Responsibilities)
Submit and obtain authorization requests for surgical services performed by physicians
Maintain expertise on authorization requirements by payer and order type
Monitor authorization work queues for pending or expiring authorizations
Initiate Peer to Peer communication with payers to support reimbursement needs
Troubleshoot authorization denials and work to overturn payer-related issues
What is Required (Qualifications)
High School Diploma or equivalent required; Associate degree preferred
Minimum of three years’ experience in a healthcare environment, preferably with prior authorization experience
Strong understanding of HIPAA laws and requirements
Knowledge of managed care, third‑party payer benefits, and reimbursement requirements
Proficient in Microsoft Office applications; experience with EPIC or comparable EMR systems preferred
How to Stand Out (Preferred Qualifications)
Certification in CCS, CCS‑P, CPC, or specialty coding
Previous medical office experience
Two years of experience in reviewing medical records for National Coverage Determinations (NCD) and Local Coverage Determinations (LCD)
Strong analytical skills with attention to detail
Demonstrated experience in delivering successful customer service
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
#J-18808-Ljbffr