Senior Associate - Claims Support - (Hartford, CT)

Overview This position receives/responds to provider authorization issues and/or RCM inquiries on claim issues. Researches details by reviewing plan, eligibility, patient notes, and authorizations to determine appropriate resolution. Works with CSC or RCM to identify areas of opportunity and recommend solutions. Completes special assignments and analyzes provider requests. Assists other departments and interacts directly with providers. Responsibilities Handles various provider authorization projects which include researching, resolving, and documenting provider authorization issues. • Handles RCM authorization and intake changes required for claims and billing processing within a 48 hour turn-around time frame.• Analyzes data and determines if CareCentrix guidelines have been followed by CSC when providing authorizations to providers by researching plan, eligibility, and patient authorization info.