Care Coordination Specialist: Reauthorization

Bardavon-Health-Innovations,-LLC; United States; Remote; USD 39,000 - 46,000; Full time

Job summary

Bardavon Health Innovations is seeking a Clinical Care Advocate to assist in obtaining and processing reauthorization of visits according to physician scripts and care plans from approved providers.

The role emphasizes organized, process-driven case management with strong documentation, communication, and problem-solving skills to ensure patients do not experience lapses in care during reauthorization and to support positive outcomes for stakeholders.

Qualifications

• High School Diploma or equivalent is required.
• Strong critical thinking skills are required.
• Excellent verbal and written communication are required.
• Proficiency in Microsoft Office Suite, CRM and Salesforce is required.
• Knowledge of Raintree and bNOTES is preferred.
• Ability to work independently and cross-functionally within a team.
• Ability to anticipate problems and visualize solutions; decisive in ambiguity.
• Flexible, reliable, self-starter with results orientation.

Responsibilities

• Maintain accurate and timely documentation of cases; track visit notes and claims.
• Follow up on referral cases at reauthorization to determine care plan.
• Obtain additional orders and authorizations for continuing care.
• Ensure no lapse in care at reauthorization and communicate claim status to stakeholders.
• Execute tasks delegated by Case Administrators and Coaching/QA.
• Improve care management through strong customer service and empathy.
• Streamline workflows to enhance efficiency and transparency.
• Use critical thinking to handle arising situations; be detail oriented in data entry.
• Handle queues efficiently to minimize delays in reauthorization processing.

Skills

Critical thinking

Communication

Independent work

Cross-functional collaboration

Education

High School Diploma or Equivalent

Tools

Microsoft Office Suite

CRM

Salesforce

Raintree

bNOTES

Job description

Bardavon Health Innovations is seeking a Clinical Care Advocate to assist in obtaining and processing reauthorization of visits according to physician scripts and care plans from approved providers.

The role emphasizes organized, process-driven case management with strong documentation, communication, and problem-solving skills to ensure patients do not experience lapses in care during reauthorization and to support positive outcomes for stakeholders.