Location: Providence,RI, USA
Job Summary: The Financial Authorization Coordinator is responsible for obtaining pre-authorizations from third party insurances and follows appropriate guidelines for processing required by each insurance payer. The incumbent routinely monitors all insurance payer information and updates all pre-authorization requirements and initiates proper protocol for any denials. The Financial Authorization Coordinator assists billing departments on obtaining necessary documentation for appeals and denials and informs appropriate staff on any changes/issues with patients' insurance coverage. The incumbent assists Sr Division Manager with volume initiates. Performs other job related duties as requested.
Specifications: Associates degree required with a minimum of one year experience in an outpatient ambulatory environment, or equivalent combination of education and experience. A working knowledge of CPT, HCPCS, coding, and medical terminology preferred. Excellent organizational, interpersonal, and communication skills required.
Care New England Health System (CNE) and its member institutionsButler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Centerare trusted organizations fueling the latest advances in medical research, attracting the nations top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
WIH Internal Posting Period: 9/11/2024-9/20/2024