Clinical Authorization Coordinator

4 weeks ago


Jacksonville, Florida, United States Integrated Resources, Inc Full time

**Job Summary:

The Clinical Authorization Coordinator will be responsible for reviewing, authorizing, and coordinating requests for services for our client members. This role requires strong analytical and communication skills, as well as the ability to make decisions based on established criteria and guidelines.

Key Responsibilities:

  1. Review and authorize requests for services per established criteria meeting compliance standards and timeframes.
  2. Communicate with providers, their offices, and occasionally with members to ensure that all requests meet established criteria and timeframes.
  3. Collaborate with other departments, such as Claims, UM, Quality, Disputes/Appeals, and external vendors.
  4. Maintain accurate records and documentation of all requests and communications.

Requirements:

  • LPN license and 0-2 years of related work experience.
  • High school diploma or GED required.

What We Offer:

A competitive salary ($60,000-$80,000 per year), comprehensive benefits package, and opportunities for career growth and development.



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