Authorization Coordinator

4 weeks ago


New York, United States VNS Health Full time
Overview
Completes data input for authorization/service requests. Works collaboratively with other departments to troubleshoot and resolve authorization related issues in a timely and efficient manner. Ensures timely and effective delivery of services. Works under general supervision.

Compensation Range:$20.98 - $26.23 Hourly

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 retirement saving funds
  • Personal and financial wellness programs
  • Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
  • Generous tuition reimbursement for qualifying degrees
  • Opportunities for professional growth and career advancement
  • Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
What You Will Do
  • Creates and modifies authorizations and/or orders for new and existing Members in an accurate and timely matter
  • 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
  • Obtains information from internal and external sources. Processes or triages the request via our medical management information system or external sources
  • 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
  • Reviews all authorization requests for accuracy and prioritizing based on urgency
  • Documents communication, actions taken and barriers in the Medical Management System as it pertains to the Members Care or request for services
  • Utilizes internal and external systems to verify eligibility and Provider Information such as name, address, fax number, NPI and TAX ID.
  • Conducts follow-up, as necessary, to ensure member satisfaction and successful delivery of service
  • Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
  • Participates in special projects and performs other duties as assigned.
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


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