Care Access & Authorization Specialist

Boomerang Healthcare; Modesto (CA); On-site; USD 32,000 - 39,000; Full time

Benefits offered by this job

Work-life balance

Medical benefits

401K match

Licensing reimbursement

Paid time off

Holiday pay

Discount programs

Career growth

Job summary

Boomerang Healthcare is seeking a Rehabilitation Services Authorization Coordinator in Modesto, CA to manage all aspects of the authorization process efficiently while maintaining patient confidentiality under HIPAA.

The role requires strong communication, attention to detail, and the ability to handle multiple tasks in a medical setting. It offers a full-time schedule, competitive pay, and comprehensive benefits.

Qualifications

• High School Diploma or equivalent
• Excellent verbal and written communication skills
• Ability to type 45+wpm
• Proficient in Windows XP, Microsoft Word, and Outlook
• Ability to multitask and follow directives
• Excellent time management
• Demonstrate professionalism in tasks and daily interactions with others
• Prior experience working in a medical setting

Responsibilities

• Anticipate our customer needs: Understand the wants and needs of customers, listen for cues and identify how to respond and what level of intervention they need.
• Communicate effectively and interact with the provider group and health plans daily or as indicated regarding UM and referral authorization issues.
• Fax or call-in prior authorizations requests.
• Process requests that are approved,denied or deferred and bring them to resolution.
• Responsible for deferred authorization maintenance, tracking and follow up.
• Returns phone calls to customers and follows up with requests.
• Maintain all reference material that is provided by the supervisor,manager,or director.
• Maintain patient confidentiality so that HIPAA compliance is always observed.
• Demonstrates honesty and integrity in everyday activities.
• Recognizes when an error has been made and immediately reports to the appropriate manager.
• Assists other staff and supports the team approach.

Job description

Boomerang Healthcare is seeking a Rehabilitation Services Authorization Coordinator in Modesto, CA to manage all aspects of the authorization process efficiently while maintaining patient confidentiality under HIPAA.

The role requires strong communication, attention to detail, and the ability to handle multiple tasks in a medical setting. It offers a full-time schedule, competitive pay, and comprehensive benefits.