Care Coordinator- Prior Authorization

We are seeking a Care Coordinator that specializes in back office responsibilities, including referral management, prior authorizations, specialty pharmacy & infusions, and medical records. The successful candidate will have a strong ability to manage multiple priorities, knowledge of CPT and ICD-10 codes, and proficiency in navigating the prior authorization process. The Care Coordinator will work collaboratively with a multidisciplinary clinical team to help deliver and implement clinical strategies and assist in member care coordination.RequirementsMinimum of 2-3 years experience working in a healthcare coordination, care or case management role, preferably in a digital healthcare environment.Must be able to work Monday through Friday 12pm - 8pm EST.Fluent in healthcare terminology or working understanding of clinical concepts.Background knowledge in navigating health insurance plans and coverage on the part of patients.Ability to work in a cross-functional interdisciplinary modality and effectively create solutions for complicated patient concerns.Comfortable and competent with using common administrative technologies (e.g. Zoom, Slack, Office or equivalent), charting electronically in EMR/EHR systems, experience delivering on telehealth platforms preferred.Excellent verbal and written communication skills required.Excellent customer service qualities required.Ability to provide occasional weekend coverage required.Have a dedicated, quiet working space that is free from distraction and reliable, high-speed internet access.Completed a degree in a health and science-related field, i.e. biology, psychology, health science and nutrition, nursing, etc. preferred.BenefitsCompetitive compensationWork from home stipendEmployer-sponsored medical, dental, and vision plansAccess to a ‘Life Concierge’ through OverallsTailored professional development opportunitiesFlexible paid time offPaid company holidaysTeam eventsRecognition of professional and personal accomplishmentsOriginally posted on Himalayas