Authorization Coordinator / Greater Manchester Region Admn
Hartford HealthCare, Manchester, CT, United States
Position
Authorization Coordinator
Location
MMH-71 Haynes Street (10627)
Shift
Mon-Fri
Overview
Work where every moment matters. Every day, over 40,000 Hartford HealthCare colleagues come to work with one common goal: pride in what they do. The Authorization Coordinator reports to the Manager, Central Authorization Center and works with FCC, ASC scheduling, and physicians’ offices to secure all necessary approvals, pre‑certifications, and authorizations for scheduled patient services across outpatient ancillary departments.
Responsibilities
Verify receipt of patient insurance information and obtain necessary pre‑authorization or managed care authorization before service delivery.
Research and resolve reasons for insurance and Medicare claim denials, initiating code and billing corrections to ensure payment.
Monitor and obtain all inpatient and outpatient admissions and procedures.
Obtain insurance eligibility and benefits, document in the ADT system prior to date of service or admission.
Notify insurance carriers of admissions by online, telephone, fax or other methods to meet notification requirements and avoid denials.
Secure authorizations before the date of service, collaborating closely with physician offices; notify the OR Director of any pending authorizations or potential cancellations.
Document authorizations, issues, and related data clearly in the ADT system.
Coordinate with Case Management and Behavioral Health to ensure all admission authorizations are obtained.
Monitor the status of authorizations and ensure notification conditions have been met.
Verify insurance policy benefit information and obtain authorization/pre‑certification before visits, surgeries, procedures, or admissions.
Identify problems and ensure accurate insurance information on patient accounts.
Confirm that insurance information and referrals are complete and accurate.
Manage eligibility denial, correcting information on patient accounts following claim rejections or eligibility failures.
Review patient documentation for required managed care pre‑authorizations; follow up with ordering doctor’s office as needed.
Relay pre‑authorized managed care coverage information to radiologists to prevent non‑payment.
Assign procedural codes, input CPT and diagnostic codes into the billing system; ensure documentation for radiology services is complete and accurate with CPT, ICD‑9CM, or ICD‑10 codes.
Education & Certification
High school diploma required.
Associate’s degree preferred.
Experience
At least 2 years of hospital or medical office insurance/authorization/ pre‑certification/referral experience.
Minimum 2 years of customer service experience.
Competencies
Knowledge of medical insurance and authorization processes.
Up‑to‑date with CPT and ICD‑10 codes.
Foundational medical terminology knowledge.
Excellent written and verbal English communication skills; basic computer and keyboard skills for Meditech system usage.
Strong customer service orientation.
Ability to meet deadlines in a fast‑paced multitasking environment.
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Authorization Coordinator
Location
MMH-71 Haynes Street (10627)
Shift
Mon-Fri
Overview
Work where every moment matters. Every day, over 40,000 Hartford HealthCare colleagues come to work with one common goal: pride in what they do. The Authorization Coordinator reports to the Manager, Central Authorization Center and works with FCC, ASC scheduling, and physicians’ offices to secure all necessary approvals, pre‑certifications, and authorizations for scheduled patient services across outpatient ancillary departments.
Responsibilities
Verify receipt of patient insurance information and obtain necessary pre‑authorization or managed care authorization before service delivery.
Research and resolve reasons for insurance and Medicare claim denials, initiating code and billing corrections to ensure payment.
Monitor and obtain all inpatient and outpatient admissions and procedures.
Obtain insurance eligibility and benefits, document in the ADT system prior to date of service or admission.
Notify insurance carriers of admissions by online, telephone, fax or other methods to meet notification requirements and avoid denials.
Secure authorizations before the date of service, collaborating closely with physician offices; notify the OR Director of any pending authorizations or potential cancellations.
Document authorizations, issues, and related data clearly in the ADT system.
Coordinate with Case Management and Behavioral Health to ensure all admission authorizations are obtained.
Monitor the status of authorizations and ensure notification conditions have been met.
Verify insurance policy benefit information and obtain authorization/pre‑certification before visits, surgeries, procedures, or admissions.
Identify problems and ensure accurate insurance information on patient accounts.
Confirm that insurance information and referrals are complete and accurate.
Manage eligibility denial, correcting information on patient accounts following claim rejections or eligibility failures.
Review patient documentation for required managed care pre‑authorizations; follow up with ordering doctor’s office as needed.
Relay pre‑authorized managed care coverage information to radiologists to prevent non‑payment.
Assign procedural codes, input CPT and diagnostic codes into the billing system; ensure documentation for radiology services is complete and accurate with CPT, ICD‑9CM, or ICD‑10 codes.
Education & Certification
High school diploma required.
Associate’s degree preferred.
Experience
At least 2 years of hospital or medical office insurance/authorization/ pre‑certification/referral experience.
Minimum 2 years of customer service experience.
Competencies
Knowledge of medical insurance and authorization processes.
Up‑to‑date with CPT and ICD‑10 codes.
Foundational medical terminology knowledge.
Excellent written and verbal English communication skills; basic computer and keyboard skills for Meditech system usage.
Strong customer service orientation.
Ability to meet deadlines in a fast‑paced multitasking environment.
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