Health Care Program Coordinator

2 weeks ago


Harrisburg, United States Clark Resources Full time

**Health Care Program Coordinator**:
**Location: Harrisburg, PA, 17110**:
**Skills: Health Care Program Coordinator**:
**Responsibilities**:

- Manage and balance priorities including, but not limited to, personal task queue, reports, and projects.
- Build Long Term Services and Support (LTSS) Authorizations based on the Participant Care Plans and follow scope of approval guidelines.
- Setup Long Term Services and Support (LTSS ) services based on Participant Care Plans through Provider outreach and Service Coordinator collaboration.
- Complete in-depth research to correct authorization discrepancies.
- Effectively communicate authorization decisions with Providers and Service Coordinators.
- Conduct comprehensive authorization reviews for denied claims and report on findings and necessary action plan.

**Requirements**:

- High school graduate with 3+ years experience in a professional office setting within a healthcare environment, or a 4 year college degree from an accredited institution.
- Strong organizational and communication skills
- Ability to work independently and as part of a team
- Knowledge of relevant regulations and guidelines
- Proficiency in Microsoft Office and other relevant software

Application Question(s):

- Are you willing to submit to a background check?

**Benefits**:

- Health insurance
- Dental insurance
- Vision insurance
- Paid time off


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