Authorization Coordinator III, Home Health

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

📋 Description

• Delivers medical administrative assistance to providers by securing referrals or prior authorizations for patients needing to consult specialty providers.

• Accurately and consistently processes referrals and/or authorizations with minimal oversight.

• Manages authorization and referral requests for members in collaboration with health plans and contracted providers within Managed Care.

• Offers support to the Case Management team.

• Acts as a knowledgeable resource for providers on the authorization process.

⛳️ Requirements

• High School Diploma or GED.

• AUTO - Automobile Insurance.

• Valid Class C or B Driver's License from the State Department of Motor Vehicles.

• Minimum of 2 years of recent relevant experience.

• Familiarity with medical terminology.

• Knowledge of Current Procedural Terminology (CPT) coding.

• Understanding of Healthcare Common Procedure Coding System (HCPCS) coding.

• Proficiency in International Classification of Diseases (ICD)-9 coding.

• Comprehension of medical terminology and anatomy.

• Ability to exercise discretion and make independent judgments, seeking review for significant deviations from established guidelines.

• Proficient in Microsoft Office applications, including Excel and Word, or similar software.

• Capacity to remain calm during difficult interpersonal interactions.

• Strong active listening abilities, encompassing interpersonal skills and telephone communication.

• Excellent organizational skills with a focus on detail and follow-up.

🏝️ Benefits

• Eligible positions come with a comprehensive benefits package.