Referral & Authorization Care Coordinator

Jobtailor; Deutschland; Vor Ort; EUR 42.000 - 62.000; Vollzeit

Zusammenfassung

Jobtailor is seeking a healthcare coordination professional to manage referrals, prior authorizations, and medical records to support member care coordination. You will collaborate with a multidisciplinary clinical team to implement clinical strategies and ensure care plan goals are met.

The role requires 2-3 years in healthcare coordination, a relevant degree, and strong familiarity with health insurance concepts and healthcare terminology.

Qualifikationen

• 2-3 years experience in healthcare coordination, care, or case management in a remote digital healthcare space
• Completed degree in a health and science related field
• Fluent in healthcare terminology with understanding of clinical concepts
• Background knowledge navigating health insurance plans and coverage, with ability to provide benefits breakdown analysis to consumers
• Comfortable with common administrative technologies (Zoom, Slack, Office) and EMR/EHR systems

Aufgaben

• Manage back-office responsibilities including referral management, prior authorizations, specialty pharmacy & infusions, and medical records to support member care coordination with a multidisciplinary clinical team
• Obtain, manage, and follow up on member referrals and prior authorizations with high attention to detail and strong communication

Kenntnisse

Healthcare coordination

Case management

Attention to detail

Ausbildung

Bachelor's degree in health sciences

Tools

Zoom

Slack

Office Suite

Jobbeschreibung

Responsibilities

• Manage back-office responsibilities including referral management, prior authorizations, specialty pharmacy & infusions, and medical records to help deliver and implement clinical strategies and support member care coordination in collaboration with a multidisciplinary clinical team.
• Use a high level of attention to detail, organization, and communication skills to obtain, manage, and follow up on member referrals and prior authorizations to ensure key care plan goals are met.

Requirements

• Minimum of 2-3 years experience in healthcare coordination, care, or case management within a remote digital healthcare space.
• Completed degree in a health and science related field (biology, psychology, health science, nutrition, nursing, etc.).
• Fluent in healthcare terminology with a working understanding of clinical concepts.
• Background knowledge navigating health insurance plans and coverage, with ability to provide benefits breakdown analysis to consumers.
• Comfortable and competent with common administrative technologies (Zoom, Slack, Office or equivalent), charting electronically in EMR/EHR systems.

Core Competencies

Demonstrates expertise in healthcare coordination and case management, with a strong understanding of clinical concepts and healthcare terminology. Proficient in managing referrals, prior authorizations, and utilizing electronic medical record systems to support member care coordination.

Tools & Technologies

• Zoom
• Slack
• Office Suite