Prior Authorization Specialist – Care Coordination

MagnaCare; Chapel Hill (NC); On-site; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare organization in North Carolina is looking for a UM Coordinator to manage the prior authorization process. Responsibilities include verifying member eligibility and coordinating communications with providers and patients. Candidates should have a strong knowledge of medical terminology, excellent interpersonal communication skills, and attention to detail. This role demands proficiency in Microsoft Word and Excel, with a preference for candidates holding a Bachelor’s degree. Join a team dedicated to improving healthcare outcomes.

Qualifications

• Knowledge of medical record review.
• Familiarity with medical terminology essential.
• Experience with third-party payor processes preferred.
• Proficient computer skills required.

Responsibilities

• Coordinate prior authorization process for members.
• Verify member eligibility, benefit status, and provider participation.
• Maintain documentation within clinical record as per guidelines.
• Communicate effectively with internal and external customers.

Skills

Interpersonal communication

Critical thinking

Problem-solving

Customer service

Attention to detail

Education

HS diploma or GED

Bachelor's degree (preferred)

Tools

Microsoft Word

Microsoft Excel

Job description

A leading healthcare organization in North Carolina is looking for a UM Coordinator to manage the prior authorization process. Responsibilities include verifying member eligibility and coordinating communications with providers and patients. Candidates should have a strong knowledge of medical terminology, excellent interpersonal communication skills, and attention to detail. This role demands proficiency in Microsoft Word and Excel, with a preference for candidates holding a Bachelor’s degree. Join a team dedicated to improving healthcare outcomes.