New

Authorization Coordinator

United Statesmid

OtherCoordinator

0 views0 saves0 applied

Apply Now

Quick Summary

Overview

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…

Requirements Summary

· 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…

Technical Tools

OtherCoordinator

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

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.

To Apply:

To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.