Authorization Coordinator (CCSS)

In this role, you’ll be responsible for efficiently handling authorization/service requests, collaborating across departments to resolve issues promptly, and ensuring effective and timely delivery of services. Communicates with Care Management, Member Services, Membership and Eligibility and other internal departments regarding Member services, authorization requests and issues.

Overview: We invite you to come be a part of a growing, cutting-edge health plans department and leading home care organization with over 130 years in the business. In this role, you’ll be responsible for efficiently handling authorization/service requests, collaborating across departments to resolve issues promptly, and ensuring effective and timely delivery of services. Responsibilities:

What We Provide

•  Referral bonus opportunities     

• Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays   

• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability    

• Employer-matched 401k retirement saving program  

• Personal and financial wellness programs    

• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program

• Generous tuition reimbursement for qualifying degrees   

• Opportunities for professional growth and career advancement and CEU credits    

What You Will Do 

• Creates and modifies authorizations and/or orders for new and existing Members in an accurate and timely manner

• Researches, troubleshoots, resolves authorization and/or order processing issues and discrepancies

• Completes activities, including but not limited to, inbound/outbound calls, as assigned, faxes and emails

• Coordinates with Providers and Members regarding authorization requests and/or activities

• Communicates with Care Management, Member Services, Membership and Eligibility and other internal departments regarding Member services, authorization requests and issues

Qualifications:

Education:

• High School Diploma or equivalent required

Work Experience:

• Minimum of two years of experience in a customer service role required

• Excellent oral and written communication skills required

• Advanced personal computer skills, including Word, Excel or Access required

• Utilization Management experience preferred

Pay Range: USD $20.98 - USD $26.23 /Hr.