Coordinator III - Prior Authorization

Cleveland Clinic
Remote

About The Position

Join Cleveland Clinic’s Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world class and caregivers are family. Here, you will work alongside a passionate and dedicated team, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. At Cleveland Clinic, everyone is a caregiver, including our essential administrative and non-clinical staff. All efforts are vital in helping us continue to provide the exceptional care our patients and communities expect. As Coordinator III, your contributions will help advance this mission. In this role, you will oversee all activities within your department, ensuring organization and workflow, primarily handling faxed requests such as contacting patients regarding insurance issues and reaching out to insurance companies to determine third-party coverage. Your work is critical for the team, as you help create an environment that enables fellow caregivers to work efficiently and cohesively. A caregiver in this position works a remote schedule consisting of four 10-hour shifts on Friday, Saturday, Sunday and Monday from 7:00 a.m. -- 5:30 p.m. The role also requires meeting once per month, either at the Main Campus or an off-site location for team building.

Requirements

  • High School Diploma or GED
  • Five years of office experience
  • Five years of experience coordinating and assisting with management functions and special projects
  • Proficient with spreadsheets, word processing and database software
  • Ability to perform work in a stationary position for extended periods
  • Ability to operate a computer and other office equipment
  • Ability to travel throughout the hospital system
  • Ability to communicate and exchange accurate information

Nice To Haves

  • Prior experience with prior authorizations
  • Experience with medications, infusions, or pre-access work.
  • Familiarity with tools like CoverMyMeds, SureScripts and Epic
  • Previous Epic experience

Responsibilities

  • Coordinate all support and clerical activities for the department by providing support to internal clients while functioning as a liaison with external clients.
  • Coordinate various department activities by facilitating analysis and reporting information.
  • Develop, maintain and distribute reports for schedules, budgets, staff, PTO and patient information.
  • Prepare, provide analysis for and implement special studies and projects.
  • Oversee all activities within your department, ensuring organization and workflow.
  • Primarily handling faxed requests such as contacting patients regarding insurance issues and reaching out to insurance companies to determine third-party coverage.

Benefits

  • Comprehensive offerings are an investment in your health, well-being and future.
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