Authorization Coordinator
Description
The Authorization Coordinator supports the Utilization management department by processing prior authorization and service requests for members in accordance with policies, regulatory requirements, and clinical guidelines. This role ensures accurate intake, documentation, and routing of authorization requests while coordinating with providers, members and internal departments to facilitate timely access to medically necessary services. The Authorization Coordinator works under general supervision and plays a key role in maintaining efficient UM operations, ensuring regulatory compliance, and supporting high – quality member service.
FLSA Status | Non-Exempt | Salary Range | $25.00-$29.00 |
Reports To | Director of Medical Management | Direct Reports | None |
Location | Remote | Travel | None |
Work Type | Regular | Schedule | Full Time |
Key Responsibilities
Clinical & Utilization Management Operations
Core Competencies
- Attention to detail and accuracy
- Customer and provider service orientation
- Ability to work in a fast-paced, high-volume environment
- Critical thinking and problem-solving skills
- Collaboration and cross-functional teamwork
- Time management and prioritization
- Adaptability and continuous improvement mindset
Qualifications
· Minimum 2–3 years of experience in healthcare customer service, authorization processing, or
utilization management
· Experience working in a Managed Care or Health Plan environment
· Familiarity with prior authorization workflows
· Strong written and verbal communication skills
· Prior experience in Utilization Management intake or prior authorization within a health plan
· Experience working in a Managed Care or Health Plan environment
· Familiarity with prior authorization workflows
· Strong written and verbal communication skills
· Prior experience in Utilization Management intake or prior authorization within a health plan
Benefits:
As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.
About COPE Health Solutions
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com.
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com.
To Apply:
To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.