Insurance and Authorization Specialist

Employment Type: Full time Shift: Day Shift Description: Position Purpose For the Mandell Multiple Sclerosis Center, responsible for ensuring appropriate and accurate submission of insurance prior authorization requests for outpatient hospital infusion services. The scope of the position involves interpreting insurance coverage, understanding outpatient hospital insurance benefits and reviewing clinical documentation for prior authorization submission. Other responsibilities include assisting patients with billing related inquiries when necessary. What you will do Assist patients with process for obtaining infusion and copay assistance to assist with financial concerns Communicate to registration, billing and case management concerning billing when necessary Prepare authorization requests for patients being infused at outside infusion Sites Demonstrate proficiency with review of medical record to submit appropriate medical information for review as part of the authorization process Minimum Qualifications High School diploma or equivalent, Associates Degree preferred 3 years' experience in a health care environment with exposure to the benefit verification process Experience with obtaining/authorizing services with various insurance companies preferred Position Highlights and Benefits Full time 40hrs M-F days Excellent benefits - starting day 1! Ministry/Facility Information Mount Sinai Rehabilitation Hospital is Connecticut's only freestanding acute care rehabilitation hospital and is the largest provider of these services in Connecticut. Its focus is to restore the lives of people following serious illness or injury through programs for traumatic brain injury, stroke/neurological rehabilitation, sports medicine, spinal cord injuries and orthopedics. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law. Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.