Authorizations Lead

Modivcare
2d$22 - $27Remote

About The Position

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you! Modivcare is looking for an experienced Authorizations Lead to join our team. This role is responsible for obtaining and processing authorizations from third-party and government payers while serving as a primary liaison to ensure a positive client service experience. It ensures the integrity and accuracy of authorization documentation and coordinates resolution efforts across various teams. The Authorizations Lead also develops and distributes routine reports, leads logistical problem-solving, and upholds confidentiality standards. This role is remote, but the associate will be asked to hold Eastern time hours.

Requirements

  • High School Diploma required.
  • Four (4) plus years of customer service experience, or equivalent combination of education and/or experience.
  • Exceptional written and verbal communication skills.
  • Strong leadership capabilities with attention to detail and accuracy.
  • Knowledge of insurance payer reimbursement practices in New York.
  • Ability to prioritize and manage time effectively to maintain productivity.
  • Ability to perform effectively under pressure.
  • Proven success working with individuals from diverse backgrounds and contributing to an inclusive workplace culture.

Responsibilities

  • Engages with clients to secure timely authorizations.
  • Oversees the entry and validation of all authorization forms, ensuring high-quality data integrity.
  • Coordinates resolution of service issues by communicating across teams and leadership levels.
  • Designs, generates, and distributes standard reports on authorization status and financial implications for relevant leadership groups.
  • Leads resolution of logistical or clerical issues related to patient records, authorizations, or billing.
  • Maintains confidentiality of all client information.
  • Demonstrates professionalism in all interactions and communications.
  • Reads and comprehends posted notices, communications, and policies.
  • May lead projects and perform other duties as assigned.

Benefits

  • Medical, Dental, and Vision insurance
  • Employer Paid Basic Life Insurance and AD&D
  • Voluntary Life Insurance (Employee/Spouse/Child)
  • Health Care and Dependent Care Flexible Spending Accounts
  • Pre-Tax and Post --Tax Commuter and Parking Benefits
  • 401(k) Retirement Savings Plan with Company Match
  • Paid Time Off
  • Paid Parental Leave
  • Short-Term and Long-Term Disability
  • Tuition Reimbursement
  • Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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