Rehabilitation Services Authorization Coordinator

Posted 3 Days Ago
Be an Early Applicant
Modesto, CA, USA
In-Office
23-28 Annually
Entry level
Healthcare Services • Hospital Care
Restoring Hope - Returning Health
The Role
Processes rehabilitation service authorization requests, including submitting prior authorizations, tracking deferred cases, resolving approvals and denials, communicating with providers and health plans, returning customer calls, maintaining reference materials, and ensuring HIPAA compliance. The role requires accurate, timely work, strong communication, multitasking, confidentiality, professionalism, and teamwork.
Summary Generated by Built In

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: 

$23.00 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

Skills Required

  • High school diploma or equivalent
  • Excellent verbal and written communication skills
  • Ability to type 45 or more words per minute
  • Proficiency in Windows XP, Microsoft Word, and Microsoft Outlook
  • Ability to multitask and follow directives
  • Excellent time management skills
  • Professionalism in tasks and daily interactions
  • Prior experience working in a medical setting
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The Company
HQ: Walnut Creek, California
375 Employees

What We Do

We are dedicated to restoring your hope and helping you return to better health with our unique individual treatment plans. Our expanding network of Providers & Specialists are dedicated to helping you achieve your goals. Our services range from cutting edge interventional pain management and psychological support to physical therapy and functional restoration. Our providers are also subspecialty-trained in the diagnosis and treatment of spinal diseases and interventional procedures including implantable technology. Aside from providing a community-based practice, IPM Medical Group, Inc. has taken further steps to become one of the premier referral centers for the injured worker. With additional services such as disability management and medical-legal evaluations, IPM Medical Group, Inc. is proud to have become the standard of quality care for both injured workers and community patients. Thank you for considering our practice for your pain management needs.

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