Prior Authorization & Scheduling Coordinator - Twin Cities Orthopedics Rheumatology
About The Position
The Clinical Care Coordinator performs patient-care and administrative responsibilities to support patients and providers. This is a full-time, in-person role in the Rheumatology department, with primary duties focused on prior authorizations and infusion scheduling. The position works Monday through Friday, 8:00 AM to 4:00 PM, at Hudson three days per week and Woodbury two days per week. Twin Cities Orthopedics is an operating division of Infinite Health Collaborative (i-Health), a group of local medical practices owned and led by physicians, with a mission to give patients more control over their healthcare.
Requirements
- High school diploma, GED, or equivalent.
- Two years of prior authorization experience.
- Strong understanding of prior authorization processes and infusion scheduling.
- Excellent communication, organizational, and problem-solving skills.
- Ability to work independently and as part of a collaborative team.
- Customer service experience.
- Ability to frequently lift up to 50 pounds independently and occasionally up to 100 pounds with assistance.
- Ability to stand, walk, bend, and move continuously throughout the shift, and frequently push, pull, and reach.
- Visual acuity to read electronic and paper documents.
- Auditory ability to participate clearly in phone or video calls.
- Manual dexterity to operate standard office equipment.
Nice To Haves
- Knowledge of medical terminology.
Responsibilities
- Manage prior authorizations and scheduling for rheumatology and infusion patients.
- Provide communication and liaison between providers and patients.
- Obtain benefit, referral, and/or authorization requirements according to insurance guidelines.
- Follow up on patient inquiries, contacting providers and/or insurance companies as necessary.
- Maintain working knowledge of health care plan requirements and health plan networks.
- Collaborate with providers, clinical staff, and insurance companies to support efficient workflow and patient care.
- Perform any other duties as assigned.
- Comply with company policies, procedures, practices, business ethics guidelines, and applicable laws and regulations.
- Demonstrate prompt and reliable attendance, work efficiently, manage interruptions, meet deadlines, and prioritize workload.
- Communicate respectfully and professionally in face-to-face, phone, and email interactions.
- Apply logical thinking to define problems, establish facts, and draw valid conclusions.
Benefits
- Eligible employees working at least 30 hours per week (60 hours per pay period) may enroll in medical coverage, including a maternity bundle, dental and vision plans, and tuition reimbursement.
- All employees are eligible for 401(k) profit sharing, an Employee Assistance Program, a Lifetime Fitness Subsidy, car rental discounts, home, auto, and pet insurance savings programs, and other benefits.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
