Rehabilitation Services Authorization Coordinator

Boomerang Healthcare Limited; Modesto (CA); Presencial; USD 34.000 - 39.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Amazing work/life balance

Medical, Dental, Vision benefits

401K plan with employer matching

License & Tuition Reimbursements

Paid Time Off

Holiday Pay & Floating Holiday

Employee Perks and Discount Programs

Supportive environment to grow and Suc

HIPAA-compliant workplace

Descripción de la vacante

Boomerang Healthcare is seeking an Authorization Coordinator to manage the complete authorization workflow in Modesto, CA. You will ensure prompts, accurate processing, and HIPAA compliance in all activities.

You will communicate with providers and health plans daily about UM and referral authorizations, handle faxed or call-in requests, and maintain tracking for deferred authorizations with diligent follow-up. Competitive hourly pay and benefits are offered.

Formación

• Excellent verbal and written communication is essential.
• Typing speed of 45+ wpm required.
• Experience in a medical setting preferred.
• Proficient use of Windows XP, Word and Outlook.

Responsabilidades

• Execute all aspects of the auth process promptly and accurately.
• Interact with providers and health plans regarding UM and referral authorization issues.
• Process faxed or call-in prior authorization requests.
• Handle approved, denied or deferred requests and bring to resolution.
• Maintain deferred authorization tracking and follow up.

Conocimientos

Strong communication

Typing 45 wpm

Time management

Multitasking

Professionalism

Medical setting experience

Educación

High School Diploma or equivalent

Herramientas

Windows XP

Microsoft Word

Outlook

Descripción del empleo

The role of the Authorization Coordinator is to execute all aspects of the auth process promptly, efficiently and accurately.

What you will do:

• 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.

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 multi task and follow directives
• Excellent with time management
• Demonstrate professionalism in tasks and daily interactions with others
• Efficient with time management
• Prior experience working in a medical setting

Compensation Range:

$25.00 to $28.00 Hourly

All compensation ranges are posted based on internal equity, job requirements, experience, and geographical locations.

Why You'll Love Working Here:

• Amazing work/life balance
• Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO)
• 401(K) Plan with Employer Matching
• License & Tuition Reimbursements
• Paid Time Off
• Holiday Pay & Floating Holiday
• Employee Perks and Discount Programs
• Supportive environment to help you grow and succeed

Boomerang Healthcare (BHC) is a multidisciplinary and comprehensive team of experienced, committed healthcare providers that treat pain. Our team of doctors approaches each patient with one goal in mind: to help patients return to normal daily activities. We work with our patients to identify the cause of their pain and create a personalized treatment plan, recognizing that no two patients are alike, and neither is their pain. Our providers create a comprehensive care plan, then monitor, manage and coordinate patient access to health services at BHC.

Boomerang Healthcare strives to be a diverse workforce that reflects, at all job levels, the patients we serve. We are an equal opportunity employer. Boomerang Healthcare is committed to compliance with the American Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please contact us.