US Tech Solutions · 7 hours ago
Prior Authorisation Intake Coordinator
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. They are seeking a Prior Authorisation Intake Coordinator who will respond to provider queries, enter administrative authorization data into the computer system, and maintain proper documentation to support care of members.
Responsibilities
Receives incoming authorization requests from providers, via fax, portal & telephone to create an event or transaction by lines of business for the UM teams to review and decision requests
Contacts provider offices for further details on clinical information
Research member eligibility and primary care selection to complete entry of the event
Documents and maintains all telephone calls and enters a note on each call/inquiry made. Documents all admissions, and referrals. Maintains flow and storage of information such as messages, forms, and logs
Works with providers and other members to solve complex and urgent issues. Ensures that appropriate person/department from across the organization is appropriately involved with applicable issues
Data entry of Authorization Requests for all Inpatient stays – Outpatient requests as needed, into information system
Represents Medical Management at applicable activities including system user groups and other health data system organizations
Attends organization-wide meetings and department staff meetings
Maintains professional growth and development through self-directed learning activities and involvement in professional, civic and community organizations
Other duties as assigned by the Intake and Outreach Coordination leadership
Qualification
Required
Associates' degree or equivalent relevant work experience
Two plus years of experience in a business environment
Exhibits exceptional internal and external customer service skills
Ability to work in clinical and company databases
Excellent verbal and written communication skills generally acquired through college or other advanced education are required
Must be able to demonstrate proficiency and accuracy in performing data entry tasks in multiple applications
Individuals must be able to appropriately identify urgent situations and follow the appropriate protocol
Position also requires the ability to manage multiple priorities as well as having the initiative, judgment, and perception to operate independently and in a partnership with other departments
Individuals must possess strong organizational and problem-solving skills and the attention to detail necessary to act within this complex environment
Requires excellent interpersonal skills
Position requires daily contact, by telephone, with network providers and their office staff, hospital contacts and internal departments
Preferred
Managed care/health industry environment experience
Company
US Tech Solutions
US Tech Solutions counted among the largest yet the fastest growing staffing firm; all achieved organically.
H1B Sponsorship
US Tech Solutions has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (9)
2023 (13)
2022 (24)
2021 (18)
2020 (14)
Funding
Current Stage
Late StageRecent News
Kelly Services, Inc.
2025-05-17
GlobeNewswire News Room
2024-12-13
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