Coordinator, Medical Scheduling

Lucet•,

2d•$20 - $22•Remote

About The Position

The Coordinator, Medical Scheduling or Benefits Determination Unit (BDU) Coordinator provides administrative and operational support for the Benefits Determination Unit, including coordination of peer-to-peer reviews, physician review scheduling, documentation support, tracking of time-sensitive review activities, and general support of adverse benefit determination, expedited appeal, retrospective review, and related utilization management workflows.

Requirements

Bachelor’s level degree with two years of relevant experience in a health care, managed care and/or customer service setting, or high school diploma (or equivalent) and five years of relevant experience in a health care, managed care and/or customer service setting. (Equivalent combination of education and experience will be considered.)
Strong organizational, written and verbal communication skills
Professional demeanor and ability to work collaboratively with multiple levels of professionals and line staff internally and externally
Highly motivated, detail oriented with the ability to take initiative and work independently as well as with a team
Strong interactive/interpersonal skills
Advanced skills with MS Office Suite, including the ability to document while simultaneously while taking information over the phone
Ability to identify issues, follow established processes, escalate concerns appropriately, and support timely completion of assigned work.
Ability to be flexible, manage multiple priorities and meet deadlines
Ability to maintain confidentiality and handle sensitive health care information appropriately.
Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.

Nice To Haves

High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting) required.

Responsibilities

Coordinate and manage the scheduling, tracking, and administrative support of peer-to-peer reviews, physician reviews, and Medical Director consultations while maintaining reviewer availability, credentials, and related records.
Provide operational and administrative support for benefit determination activities, including review coordination, documentation, tracking, communications, escalations, reporting, meeting support, case assignments, and process improvement initiatives to ensure timely and efficient workflow management.
Support compliance with regulatory, accreditation, contractual, and organizational requirements by maintaining accurate documentation, protecting confidential information, assisting with audits and reporting activities, and escalating identified workflow or compliance risks.

Benefits

Hourly compensation between $19.50-22.00/hr, PLUS an annual performance-based, discretionary incentive.
Comprehensive health benefit options: Medical, dental, and vision coverage
401(k) with competitive employer match
Company-paid life and disability insurance
Paid parental leave and wellbeing incentives
Generous paid time off, including volunteer time
Flexible spending accounts for healthcare and dependent care
Professional development opportunities and tuition reimbursement
Remote work flexibility (role-dependent)
Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued.