Service Authorization Coordinator

The Information Center, Inc.•Taylor, MI

About The Position

The Service Authorization Coordinator supports the timely coordination and accurate processing of Medicaid-funded services for MI Choice Waiver, Self-Determination, and Community Transition Services (CTS). The position manages service authorization records, coordinates billing and documentation reviews, works with contracted vendors to resolve discrepancies, and monitors Electronic Visit Verification (EVV) and program compliance. Through accurate recordkeeping, data analysis, and provider collaboration, the Coordinator helps promote regulatory compliance, efficient operations, and reliable service delivery. The role includes coordinating Purchase of Service requests, maintaining Self-Determination authorizations, processing CTS billing, and serving as a contact for vendors on authorizations, billing, EVV, documentation, and compliance. The Coordinator reviews invoices and related records, follows up on discrepancies, supports EVV audits and reporting, completes assigned annual on-site HCBS residential setting surveys, and analyzes data to identify recurring issues and trends.

Requirements

At least two years of relevant experience in healthcare administration, Medicaid services, service authorization, billing, compliance, care management, Home and Community-Based Services, provider relations, or a related field.
Proficiency with Microsoft Office Suite, including Excel, Word, Outlook, and SharePoint.
Strong analytical, organizational, time management, and problem-solving skills, including the ability to interpret data, identify trends, manage multiple priorities, and meet deadlines.
Effective written and verbal communication skills, including the ability to present findings, prepare reports, and communicate recommendations to leadership.
Strong data entry and data management skills, including the ability to maintain accurate records and use electronic tracking and reporting tools.
Knowledge of Electronic Visit Verification (EVV), HIPAA, HCBS requirements, and applicable federal and state compliance standards.
Valid Michigan Driver’s License, current automobile insurance, and reliable transportation.

Nice To Haves

Bachelor’s degree in business, Healthcare Administration, Human Services, Public Administration, Health Information Management, Health Services Administration, or a related field; equivalent education, training, and relevant experience may be considered.
Experience with Compass or similar authorization/case management systems.
Knowledge of Medicaid waiver programs, MI Choice, Self-Determination, Home and Community-Based Services (HCBS), and related service authorization and documentation requirements.
Experience with Medicaid waiver programs, EVV, provider billing, or authorization systems.

Responsibilities

Coordinate the review, processing, and tracking of Purchase of Service (POS) requests within Compass for MI Choice Waiver and Community Transition Services.
Coordinate and maintain service authorization processes for Self-Determination services, ensuring authorizations are accurate, timely, and aligned with program requirements.
Maintain accurate authorization records and tracking tools to support timely processing, service delivery, and reporting.
Process billing for Community Transition Services in accordance with established program requirements and departmental procedures.
Serve as a point of contact for contracted vendors regarding service authorizations, billing, Electronic Visit Verification (EVV), documentation, and compliance requirements.
Cross-reference vendor notices and POS requests with vendor invoices to verify that billed services are authorized, appropriate, and accurately documented.
Communicate identified discrepancies to vendors and internal staff and support timely resolution of authorization, billing, and documentation issues.
Monitor EVV processes for contracted vendors and services subject to EVV requirements, identifying, tracking, and reporting discrepancies and trends to management.
Review vendor adherence to EVV documentation standards, including timely and accurate recording of service delivery, visit validation, and billing documentation.
Assist with EVV audits, reporting, and compliance activities, including timely submission of required information and follow-up on identified discrepancies.
Complete annual on-site HCBS residential setting surveys, as assigned, to assess contracted housing vendors’ adherence to applicable HCBS requirements.
Analyze authorization, billing, EVV, vendor, and documentation data to identify recurring issues, discrepancies, and trends.