Authorization Coordinator

4 weeks ago

Riverside, United States Illumination Foundation Full time

**_“Every person deserves compassion, dignity, and the safety of a place to call home.”_**
- Homelessness is the largest social and public health crisis in California. Illumination Foundation (IF) is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary services in our recuperative care centers, emergency shelters, housing services and children’s and family programs. IF currently has 13+ facilities with 22+ micro-communities scattered across Orange County, Los Angeles County and the Inland Empire._

The **Authorization Coordinator** will be responsible for tracking and keeping up to date on the
authorizations for the Recuperative care and STPH services. This role will need to communicate with
Site Medical Staff, Site Manager, and Case Management, Director of Operations and Director of CalAim.
The pay range for this position is** $25.00 - $27.00 per hour**, depending on experience.

**Responsibilities**
- Responsible for tracking and submitting Authorizations, Reauthorizations in a timely matter to avoid any gaps for the Recuperative Care and STPH services.
- Will need to communicate with Medical Coordination Staff, Site Manager, and Case Management
- Need to gather all documents necessary to submit Authorization Process
- Assist in the Recup/STPH Billing Data Reviews
- Communicate in a timely matter when a client is not approved with an extension.
- Submission of Re-Authorizations for programs based on client meeting Criteria for extensions.
- Assist with Capacity and or Census Reports as needed.

Expectations:

- Prioritize individual and client health and safety.
- Be able to meet targets and work under pressure.
- Communicate with tact and professionalism.
- Demonstrate the ability to maintain confidentiality of client information and work-related information/materials
- Uphold Illumination Foundation’s Guiding Principles of Integrity, Humility, Sustainable Compassion, Quest for Knowledge and Critical Thinking, Client-Centered Care, Innovation, Advocacy, and Stewardship and Compliance.

**Preferred Experience/Minimum Qualifications**
Required:

- High School Diploma or equivalent.
- 2 years relevant experience.
- Knowledge of Health Insurance Authorization/Reauthorization protocol
- Must meet targets, work in high volume of processing documents
- Communicate with tact and professionalism

Preferred:

- Bilingual in English and Spanish.
- Proficiency in Microsoft Office Suite (Outlook, Word, Excel, Teams, etc.).
- Experience working in Kipu or similar EHR/EMR system
- Associate degree
- Knowledge of county specific Managed Medi-Cal plans

**Benefits**
- Medical Insurance funded up to 91% by Illumination Foundation (Kaiser and Blue Shield), depending on the plan
- Dental and Vision Insurance
- Life, AD&D and LTD Insurance funded 100% by Illumination Foundation
- Employee Assistance Program
- Professional Development Reimbursement
- 401K with Company Matching
- 10 days vacation PTO/year
- 6 days sick PTO/year
- 10 days holiday PTO/year
- Potential eligibility for the Public Service Loan Forgiveness Program (PSFL) for federally qualified loans

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