Job Description
We are seeking a dedicated Authorization Coordinator to join our team and help support timely, accurate patient referral determinations. Enjoy the flexibility of working from your home office with all computer equipment provided, allowing you to ditch the commute while making a meaningful impact in patient care. Responsibilities Process patient referral requests to support timely and accurate medical determinations. Review referrals according to established workflows, health plan contracts, and utilization management protocols. Forward specific requests to nurses or physicians when clinical review is required. Monitor pending referrals, maintain strict turnaround-time standards, and promptly report anticipated delays. Document referral updates and determinations accurately in the system. Assist providers and patients with referral status questions and resolve related issues. Identify workflow bottlenecks and actively support process improvements. Requirements Epic software experience is firmly required. 1+ year of experience in healthcare administration, referrals, authorizations, or managed care. Proficiency in medical terminology and standard healthcare workflows. Experience processing referrals according to protocols and turnaround times. Computer skills, including Microsoft Word, Excel, and managed care systems. Excellent remote work habits, adaptability, and the ability to manage changing priorities. Preferred Qualifications Experience working in a health plan, medical group, or utilization management setting. Working knowledge of CPT, HCPCS, and ICD-9 coding. Experience obtaining specific medical information for authorization determinations.
salary: $24.99 - $25 per hour
shift: First
work hours: 9 AM - 5 PM
education: High School
Responsibilities
Process patient referral requests to support timely and accurate medical determinations.
Review referrals according to established workflows, health plan contracts, and utilization management protocols.
Forward specific requests to nurses or physicians when clinical review is required.
Monitor pending referrals, maintain strict turnaround-time standards, and promptly report anticipated delays.
Document referral updates and determinations accurately in the system.
Assist providers and patients with referral status questions and resolve related issues.
Identify workflow bottlenecks and actively support process improvements.
Skills
- healthcare administration
- referrals, authorizations
- medical terminology
Qualifications
- Years of experience: 1 year
- Experience level: Experienced
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Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
Job Tags
Hourly pay, Permanent employment, Temporary work, Work experience placement, Local area, Remote work, Home office, Shift work