Clinical Authorization Coordinator

1 week ago


Kirkland, Washington, United States EvergreenHealth Full time
Job Summary

As a key member of the EvergreenHealth team, the Clinical Authorization Specialist plays a vital role in expediting administrative requirements for patient care. This includes clinical authorizations based on specialty provider orders, direct communication with health plans, and decision-making for risk planning referrals.

Key Responsibilities
  • Collaborate with healthcare providers to obtain necessary authorizations for patient care
  • Communicate effectively with health plans to resolve authorization issues
  • Make informed decisions regarding risk planning referrals
  • Utilize department and organizational resources to optimize authorization processes
Requirements

The ideal candidate will possess strong analytical and communication skills, with the ability to work effectively in a fast-paced environment. A background in healthcare and authorization processes is highly desirable.



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