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Role Description

This role involves managing clinical denials and securing necessary authorizations to ensure patients have uninterrupted access to essential ancillary services.

• Clear the path for specialized care by securing necessary authorizations and managing clinical denials.
• Advocate for patient choice by identifying and documenting ideal post-acute referrals.
• Coordinate the rapid transfer of clinical documentation to receiving providers.
• Act as the primary liaison between clinical teams, admissions, and insurance payers.

Qualifications

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
• Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Requirements

• Knowledge of medical terminology.
• Proficiency with Google suites.
• Epic experience preferred.
• Remote work experience preferred.
• Day shift Monday-Friday (typical start time between 7:00-8:00am).

Benefits

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options.
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance.
• Time to recharge: paid time off (PTO) and holidays.
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning.
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources.
• Family support: parental leave, adoption assistance and family benefits.
• Other benefits: optional legal and pet insurance, transportation savings and more.