What are the responsibilities and job description for the Authorization & Denials Coordinator position at TriState Health?
Job Summary
The Authorization & Denials Coordinator is responsible for obtaining insurance prior authorizations for scheduled medical services, diagnostic imaging, and procedures to help ensure patients receive timely access to medically necessary care. This position reviews orders and supporting clinical documentation, verifies insurance authorization requirements, reviews medical policies, submits authorization requests to insurance carriers, and monitors requests through completion.
The Authorization & Denials Coordinator works collaboratively with providers, clinical staff, scheduling teams, insurance companies, and other healthcare facilities to obtain required information, resolve authorization issues, and communicate authorization status. The successful candidate demonstrates strong organizational skills, attention to detail, sound judgment, and the ability to prioritize multiple tasks in a fast-paced healthcare environment.
Education
Learn more about TriState Health here.
TriState Health is a not-for-profit, critical access hospital and medical campus, community owned and operated since 1955. As the largest employer in Asotin County, TriState remains committed to our mission of caring for the community and ensuring, “Your Health Is Our First Priority.”
Serving an 8-county region in Washington, Idaho, and Oregon, TriState Health continues to receive awards for excellent service to the community such as “2025 Get with the Guidelines Gold in Rural Stroke” and “1 of 6 Top Recommended Hospitals in Washington State." TriState proudly promotes a 4:1 nurse to patient ratio, with an even lower ratio for critical care patients.
Located in Clarkston, WA, and nestled within the Lewis Clark Valley - a hidden gem found at the confluence of the Snake and Clearwater Rivers and at the mouth of Hells Canyon, America’s deepest river gorge. With a mild climate and a four-seasons environment, the valley offers a wide variety of year-round family friendly happenings. Spend time boating on the river, hiking, skiing at nearby resorts, savoring delicious wines and cuisines, attending sporting events, and more! Enjoy life at your pace, your way, in the beautiful Lewis Clark Valley.
Our Mission: Your Health Is Our First Priority!
Our Vision: Empowered Employees. Compassionate Care. Patients First. Community Always.
Our Values
Quality. Through teamwork, we strive to continuously improve our quality of care and service.
Compassion. We are the caretakers of our community and we treat each patient, partner, and team member with a tender touch and an unparalleled level of care.
Respect. We create a culture of respect by engaging professional staff who demonstrates respect for each other, our patients, and their families.
Collaboration. We seek healthy partnerships - both within and outside our walls - to build teams that deliver the highest quality of care.
Innovation. We embrace and integrate new ideas and technology to improve our community’s health and wellness.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
The Authorization & Denials Coordinator is responsible for obtaining insurance prior authorizations for scheduled medical services, diagnostic imaging, and procedures to help ensure patients receive timely access to medically necessary care. This position reviews orders and supporting clinical documentation, verifies insurance authorization requirements, reviews medical policies, submits authorization requests to insurance carriers, and monitors requests through completion.
The Authorization & Denials Coordinator works collaboratively with providers, clinical staff, scheduling teams, insurance companies, and other healthcare facilities to obtain required information, resolve authorization issues, and communicate authorization status. The successful candidate demonstrates strong organizational skills, attention to detail, sound judgment, and the ability to prioritize multiple tasks in a fast-paced healthcare environment.
Education
- Associate degree in healthcare or business administration and/or related coursework, or comparable experience.
- At least two years of experience in a healthcare setting performing related tasks.
- Knowledge of medical insurance preferred.
- Competent in the use of a computer and computer systems.
- Excellent customer service skills.
- Paid Time Off
- Paid Sick Leave
- Medical, Dental and Vision
- Flexible Health Spending Account and Dependent Care Spending Account
- Retirement - 403(b) with matching contributions
- Employee Assistance Program
- Tuition Reimbursement
- Life Insurance
- Employee Wellness Program
Learn more about TriState Health here.
TriState Health is a not-for-profit, critical access hospital and medical campus, community owned and operated since 1955. As the largest employer in Asotin County, TriState remains committed to our mission of caring for the community and ensuring, “Your Health Is Our First Priority.”
Serving an 8-county region in Washington, Idaho, and Oregon, TriState Health continues to receive awards for excellent service to the community such as “2025 Get with the Guidelines Gold in Rural Stroke” and “1 of 6 Top Recommended Hospitals in Washington State." TriState proudly promotes a 4:1 nurse to patient ratio, with an even lower ratio for critical care patients.
Located in Clarkston, WA, and nestled within the Lewis Clark Valley - a hidden gem found at the confluence of the Snake and Clearwater Rivers and at the mouth of Hells Canyon, America’s deepest river gorge. With a mild climate and a four-seasons environment, the valley offers a wide variety of year-round family friendly happenings. Spend time boating on the river, hiking, skiing at nearby resorts, savoring delicious wines and cuisines, attending sporting events, and more! Enjoy life at your pace, your way, in the beautiful Lewis Clark Valley.
Our Mission: Your Health Is Our First Priority!
Our Vision: Empowered Employees. Compassionate Care. Patients First. Community Always.
Our Values
Quality. Through teamwork, we strive to continuously improve our quality of care and service.
Compassion. We are the caretakers of our community and we treat each patient, partner, and team member with a tender touch and an unparalleled level of care.
Respect. We create a culture of respect by engaging professional staff who demonstrates respect for each other, our patients, and their families.
Collaboration. We seek healthy partnerships - both within and outside our walls - to build teams that deliver the highest quality of care.
Innovation. We embrace and integrate new ideas and technology to improve our community’s health and wellness.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Salary : $19 - $30