Eligibility and Authorization Coordinator

Care Partners•Irvine, CA

1d•$24 - $25•Onsite

About The Position

The Eligibility and Authorization Coordinator serves a critical role in ensuring the accuracy, compliance, and efficiency of service eligibility and authorization processes. This individual is responsible for managing the full lifecycle of authorizations, including referral coordination, calls to referral source with updates, verifying eligibility requirements, tracking service utilization, ensuring timely renewals, and assisting to facilitate support for our offsite teams. The ideal candidate is detail-oriented, highly organized, and passionate about supporting our Enhanced Care Management team (ECM). This role requires strong collaboration with internal & external teams, clients, to ensure seamless service delivery.

Requirements

Experience in authorization coordination, eligibility verification, case management, or a related role (preferably within healthcare services).
Strong attention to detail and exceptional organizational skills.
Excellent interpersonal and communication skills with a compassionate, professional demeanor.
Proficiency in Microsoft Office, EHR systems, and web-based applications.
Bachelor’s degree preferred but not required.
Ability to pass a federal background check.
Valid driver’s license and proof of current auto insurance.

Nice To Haves

Preferably Spanish or Vietnamese Speaker

Responsibilities

Manage the full lifecycle of authorizations, including eligibility verification, tracking utilization, and ensuring alignment with referrals and regulatory guidelines
Maintain accurate documentation in EHR systems and ensure compliance with state, payer, and DHCS requirements, including audits
Serve as the primary point of contact for authorization inquiries, providing clear communication and coordination with clients, families, and stakeholders
Collaborate cross-functionally with internal teams while building strong relationships and identifying process improvements to support efficient workflows

Benefits

Medical, Dental, Vision
401k with employer matching
Voluntary Life
Flex-Spending Account Options Savings
Generous PTO Plan (15 Days) and encouragement to USE IT!
6 holidays
5 sick days
Grow & Shine: Work alongside healthcare professionals who mentor and support your career growth.
Open Doors, Open Minds: Transparent leadership that listens and values your voice.
Feel the Love: Here, you’re not just an employee—you’re family.
Work-Life Bliss: Team outings, company events, and a commitment to putting you first.
An Office That Feels Like Home: Modern, welcoming, and dog-friendly (as long as Fido’s well-behaved!).