Authorization Coordinator III, Home Health

Posted 2 days ago

This is a fully remote position, open to applicants in Arizona, +6 more states.

πŸ“‹ Description

β€’ Provide administrative medical support to healthcare providers by securing referrals or prior authorizations for patients seeking specialty care.

β€’ Accurately and consistently complete referrals and/or authorizations with minimal supervision.

β€’ Process authorization and referral requests for members in collaboration with health plans and contracted providers within Managed Care.

β€’ Assist Case Management staff as needed.

β€’ Act as a resource for providers regarding the authorization process.

β€’ Work full-time during the day shift on various weekdays with rotating weekends.


⛳️ Requirements

β€’ High School Diploma or GED.

β€’ A minimum of 2 years of recent relevant experience.

β€’ Automobile insurance as required by the department.

β€’ Valid Class C or B Driver's License issued by a State Department of Motor Vehicles.

β€’ Familiarity with medical terminology.

β€’ Knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD)-9 coding.

β€’ Understanding of human anatomy.

β€’ Ability to exercise discretion and make independent decisions.

β€’ Proficiency in Microsoft Office applications, including Excel and Word, or similar software.

β€’ Capability to maintain composure during challenging interpersonal interactions.

β€’ Strong active listening, interpersonal, and telephone communication skills.

β€’ Excellent organizational skills with a keen attention to detail and follow-up.


🏝️ Benefits

β€’ Comprehensive benefits package for eligible positions.

β€’ Total rewards program.

β€’ Full-time regular employee status.

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