Rehabilitation Services Authorization Coordinator

Boomerang Healthcare

Modesto, CAOn-siteFull time
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Pay
$25 to $28
an hour
Location
Modesto, CA
Work style
On-site
Job type
Full time
Posted
Oct 28
Today
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About the company

Boomerang Healthcare

Hospital & health care · 2 to 10 employees

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 on LinkedIn

What you'll do

  • Communicate with the provider group and health plans 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
  • Maintain, track and follow up on deferred authorizations
  • Return phone calls to customers and follow up with requests
  • Maintain reference material provided by the supervisor, manager, or director
  • Maintain patient confidentiality so that HIPAA compliance is always observed
  • Assist other staff and support the team approach

What you need

  • High School Diploma or equivalent
  • Education: a high school diploma

Key skills

Verbal and written communicationType 45+wpmWindows XPMicrosoft wordOutlookMulti taskTime managementProfessionalism

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Perks

  • 401(K) Plan with Employer Matching
  • License & Tuition Reimbursements
  • Paid Time Off
  • Holiday Pay & Floating Holiday
  • Employee Perks and Discount Programs
  • work/life balance

See full description on company page, apply now

Read the full posting here
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. Monday through Friday, 8am-5pm 40

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