Authorization Management Coordinator

WellSky

27d•Remote

About The Position

Authorization Management Coordinator The Authorization Management Coordinator is responsible for providing program and initiative support across WellSky. This individual will be responsible for managing processes related to prior authorization requests. They will work closely with providers and payers, delivering outstanding communication and exceptional service.

Requirements

Bachelor’s Degree or equivalent work experience preferred.
At least 0-2 years of relevant work experience.
Strong organizational management skills.
Must possess excellent written and verbal communication skills.
Must work in accordance with applicable security policies and procedures to safeguard company and client information.
Must be able to sit and view a computer screen for extended periods of time.

Nice To Haves

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.
CNA, LPN, CA, PTA, OTA type certifications preferred.
Willing to work additional or irregular hours as needed.

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.