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Authorization Coordinator
Completes data input for authorization/service requests. Works collaboratively with other departments to troubleshoot and resolve authorization related issues in a timely and efficient manner. Ensures timely and effective delivery of services. Works under general supervision.
Compensation:
$20.98 - $26.23 Hourly
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched retirement saving funds
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement
Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
What You Will Do
Creates and modifies authorizations and/or orders for new and existing Members in an accurate and timely matter
Researches, troubleshoots, resolves authorization and/or order processing issues and discrepancies
Completes activities, including but not limited to, inbound/outbound calls, as assigned, faxes and emails
Obtains information from internal and external sources. Processes or triages the request via our medical management information system or external sources
Coordinates with Providers and Members regarding authorization requests and/or activities
Communicates with Care Management, Member Services, Membership and Eligibility and other internal departments regarding Member services, authorization requests and issues
Reviews all authorization requests for accuracy and prioritizing based on urgency
Documents communication, actions taken and barriers in the Medical Management System as it pertains to the Members Care or request for services
Utilizes internal and external systems to verify eligibility and Provider Information such as name, address, fax number, NPI and TAX ID.
Conducts follow-up, as necessary, to ensure member satisfaction and successful delivery of service
Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
Participates in special projects and performs other duties as assigned.
Qualifications
Education:
High School Diploma or equivalent required
Work Experience:
Minimum of two years of experience in a customer service role required
Excellent oral and written communication skills required
Advanced personal computer skills, including Word, Excel or Access required
Utilization Management experience preferred
About Us
VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Innovating in health care for more than 125 years, our commitment to health and well-being is what drives us—we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
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Mission & Values
As a team member of VNS Health, you share a passion for improving the health of patients through best-in-class care in the home and the community.
Inclusive Culture
At VNS Health, our priority is to create an environment where every team member feels they belong and are included.
Total Rewards
We provide our team members a well-rounded employment experience, competitive compensation, and a robust and affordable benefits package that serves you and your family. Our Total Rewards Program at VNS Health is an investment in your health, wealth and life.
