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WellSky · 1 day ago

Authorization Management Coordinator

United States

Full-time

Remote

New Grad, Entry Level

0+ years exp

WellSky is where independent thinking and collaboration come together to create an authentic culture. The Authorization Management Coordinator is responsible for managing processes related to prior authorization requests and providing program support across WellSky, ensuring effective communication with providers and payers.

Health CareSoftware

No H1B

Responsibilities

Serve as the primary point of contact for the health plan, providers, and client

Responsible for the intake, eligibility/notification, processing. triaging, case oversight, P2P Scheduling, denials and appeals processing and submission of a variety of authorization requests

Provide case review functions as assigned

Provide administrative support to the clinical review team as required to facilitate case resolution

Monitor turn around time on compliance reviews, authorizations, denials and appeals in real time to ensure 100% compliance with program performance metrics

Manage authorization requests and compliance review outcomes and facilitate various methods of communication with healthcare providers, payers and the client

Provide coordination and support for various programs and initiatives, including assisting with development and administration of programs

Maintain accurate documentation, collateral, and reporting to support program operations and goals

Troubleshoot and research best practices to provide process improvement and issue resolution

Communicate regularly with appropriate stakeholders to support timely completion of program deliverables

Perform other job duties as assigned

Qualification

Healthcare experienceMedical terminologyOrganizational managementWritten communicationVerbal communicationCustomer serviceCNA certificationLPN certificationCA certificationPTA certificationOTA certification

Required

Bachelor's Degree or equivalent work experience preferred

At least 0-2 years of relevant work experience

Preferred

Experience in healthcare and/or a healthcare setting

Medical terminology proficiency preferred

Preference given to candidates with previous experience with automated hospital admission procedure systems, personal computers and customer service skills

Strong organizational management skills

Must possess excellent written and verbal communication skills

CNA, LPN, CA, PTA, OTA type certifications preferred