Authorization Coordinator

4 weeks ago


New York, United States VNS Health Full time

OverviewCompletes 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:$20.98 - $26.23 HourlyWhat We ProvideReferral bonus opportunitiesGenerous paid time off (PTO), starting at 20 days of paid time off and 9 company holidaysHealth insurance plan for you and your loved ones, Medical, Dental, Vision, Life and DisabilityEmployer-matched retirement saving fundsPersonal and financial wellness programsPre-tax flexible spending accounts (FSAs) for healthcare and dependent careGenerous tuition reimbursement for qualifying degreesOpportunities for professional growth and career advancementInternal mobility, generous tuition reimbursement, CEU credits, and advancement opportunitiesWhat You Will DoCreates and modifies authorizations and/or orders for new and existing Members in an accurate and timely matterResearches, troubleshoots, resolves authorization and/or order processing issues and discrepanciesCompletes activities, including but not limited to, inbound/outbound calls, as assigned, faxes and emailsObtains information from internal and external sources. Processes or triages the request via our medical management information system or external sourcesCoordinates with Providers and Members regarding authorization requests and/or activitiesCommunicates with Care Management, Member Services, Membership and Eligibility and other internal departments regarding Member services, authorization requests and issuesReviews all authorization requests for accuracy and prioritizing based on urgencyDocuments communication, actions taken and barriers in the Medical Management System as it pertains to the Members Care or request for servicesUtilizes 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 serviceProtects the confidentiality of member information and adheres to company policies regarding confidentiality.Participates in special projects and performs other duties as assigned.QualificationsEducation:High School Diploma or equivalent requiredWork Experience:Minimum of two years of experience in a customer service role requiredExcellent oral and written communication skills requiredAdvanced personal computer skills, including Word, Excel or Access requiredUtilization Management experience preferred#J-18808-Ljbffr

by Jobble



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