authorization coordinator

24 Hour Home Care

<p></p><div><div><div><div><div><div><p>WHO WE ARE:</p>
<p>
24 Hour Home Care is a trusted in-home care company committed to making a positive impact in people's lives every day. For more than 15 years, it has delivered high-quality and personalized caregiving services to people of all ages and individuals with developmental and intellectual disabilities. Today, it provides caregiving services to more than 16,000 clients and employs more than 16,000 caregivers. By putting people first, striving for excellence, and investing in purposeful innovation, 24 Hour Home Care redefines what it means to care. Learn more at www.24hrcares.com.</p>
<p>
At Team 24, we're driven by one purpose &mdash; to make a real difference in the lives of our clients and families. Watch this short video to see the heart behind our work and the impact our teams create every day.</p>
<p></p>
<p>WHO YOU ARE:</p>
<p>
You are a <i>passionate and performance-driven</i> team player, eager to take on a key role in our company's growth. You embody Team 24's Care &amp; Compete Principles and Competencies:</p><br>
<p></p>
<p>
In the spirit of <i>Own(ing) It With Courage</i>, we encourage you to check out our Glassdoor Page to learn more about 24 Hour Home Care and to leave a review about your experience: 24 Hour Home Care: Glassdoor Page</p>
<p>
Sound interesting? Read on for more details!</p><br>
<p></p>
</div>
</div></div><div><div><div><p>THE ROLE:</p>
</div>
</div></div><p>The Authorization Coordinator ensures accurate, timely management of client service agreements for the Disability Services (DS) division. This role focuses on high-volume data entry, precise record maintenance, and proactive communication with internal teams and regional center partners. By ensuring service authorizations are correctly documented and discrepancies are quickly resolved, the Authorization Coordinator supports smooth billing operations and quality client service.</p>
<p><b>
Primary Responsibilities</b></p>
<ul>
<li><p>Accurately collect, organize, and input a high volume of client service authorization data into the billing system across multiple branch locations.</p>
</li>
<li><p>Monitor and resolve authorization issues by collaborating with branch teams and communicating promptly with regional center partners.</p>
</li>
<li><p>Partner with accounting staff to research and correct billing discrepancies related to service authorizations.</p>
</li>
<li><p>Maintain accurate records and follow established protocols to safeguard confidential information.</p>
</li>
<li><p>Provide clear, timely updates to internal and external stakeholders to ensure seamless billing and service delivery.</p>
</li>
<li><p>Support team projects and other duties as assigned to enhance operational efficiency.</p></li></ul><br>
<div>
</div><div><div><div><p><b>This is a hybrid position, coming into the El Segundo office 1x per month.</b></p>
<p><b>
Please note that this is a temporary position.</b></p><br>
<p></p>
<p>
WHAT YOU BRING TO THE TABLE:</p>
<p><b>
Skills</b></p>
<ul>
<li><p>Exceptional attention to detail and organizational skills for high-volume data management</p>
</li>
<li><p>Strong communication skills for effective collaboration with internal teams and external partners</p>
</li>
<li><p>Ability to work independently while meeting tight deadlines and productivity standards</p>
</li>
<li><p>Proficiency with Microsoft Office, including Word, Excel, and Outlook</p>
</li>
<li><p>Discretion and professionalism in handling sensitive and confidential information</p>
</li>
</ul><p><b>Qualifications</b></p>
<ul>
<li>1-3 years of customer service, data entry, or related operational experience</li>
<li>Ability to meet deadlines and maintain accuracy under pressure</li>
<li>Reliable attendance and flexibility to adapt to changing priorities</li></ul><br>
<p></p>
<p>
WHAT WE BRING TO THE TABLE:</p>
<p></p>
<p>Learn more about 24 Hour Home Care's benefits for temporary employees here!</p>
<p><i>
24 Hour Home Care is an Equal Opportunity Employer that is proud of its culture of diversity and inclusion. Individuals seeking employment are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation. Additionally, 24 Hour Home Care will consider qualified candidates with criminal histories in a manner consistent with the law.</i></p>
<p><i>
Qualified applicants with criminal history will be considered for employment in accordance with California Fair Chance Act and the Los Angeles County Fair Chance Ordinance for Employers, ensuring individuals with criminal history have fair and equitable access to opportunities for gainful employment in the unincorporated areas of LA County.</i></p>
<p><i>
Upon review, should criminal history have a direct, adverse, and negative relationship, 24 Hour Home Care will conduct an Individualized Assessment and provide a Preliminary Notice of Adverse Action; specifying the laws or regulations that impose such restrictions. At which point, 24 Hour Home Care will review the prospective hire's written response and mitigating circumstances before making a final decision. Should withdrawal of a conditional offer of employment be determined, 24 Hour Home Care will provide a copy of the Second Individualized Assessment.
</i></p><p><i>Individuals have the right to reach out to the LA County Department of Business and Consumer Affairs to file a complaint or if you require additional information.
</i></p><ul><li><i>By Email: </i><i>info@dcba.lacounty.gov</i></li>
<li><i>By Web: </i><i>https://dcba.lacounty.gov/contact-us/</i></li>
<li><i>By Phone: (800) 593-8222</i></li>
</ul>
<p><i>For California applicants: by applying for this position, you acknowledge and consent to the collection, use, and disclosure of your personal information in accordance with our </i><i>privacy policy </i><i>and the California Consumer Privacy Act (CCPA).</i></p></div></div></div></div></div></div>

Temporary Authorization Coordinator

Optum

<div><p>Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start <b>Caring. Connecting. Growing together.</b></p><p>
Optum's Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.</p><p>
The <b>Senior Retail Medication</b> <b>Prior Authorization Coordinator</b> is responsible for reviewing and processing request for prior authorization of medication in accordance with insurance provider guidelines. This role requires a solid understanding of healthcare insurance policies, pharmacy benefit management, and medical terminology.
</p><p><b>Schedule: </b>Monday-Friday, 8am-5pm PST</p><p><b>
Location: </b>Onsite for training at 7600 Evergreen Way, Everett WA for about 1-3 month training period and then will become fully remote.</p><p>
Candidates must reside near Everett, WA or must be willing and able to commute to the Everett office at their own expense for training</p><p>
If you live near Everett, WA, you will enjoy the flexibility of a hybrid-remote position* as you take on some tough challenges.</p><p>
This position follows a hybrid schedule with three in-office days per week.</p><p><b>
Primary Responsibilities:</b></p><ul><li><p>
Acquire and maintain a working knowledge of health plan formulary and authorization requirements</p></li><li><p>
Utilize internal system to facilitate faster turnaround time on a complete authorization</p></li><li><p>
Gather necessary information from chart review to submit prior auth request to insurance providers</p></li><li><p>
Act as a liaison between providers, pharmacy, health plans and patients to support a timely medication authorization process</p></li><li><p>
Communicate with providers, pharmacy, and patients to provide updates on the status of their prior auth request</p></li><li><p>
Document in the patient electronic health record all medication authorization work provided following standard work guidelines</p></li><li><p>
Provide and document in Epic medication authorization denials and health plan recommendation and or alternatives when provided</p></li><li><p>
Ensure compliance with all relevant laws, regulations, and policies related to medication prior authorizations</p></li><li><p>
Performs other duties as assigned</p></li></ul><p><b>
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:</b></p><ul><li><p>
 Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays</p></li><li><p>
Medical Plan options along with participation in a Health Spending Account or a Health Saving account</p></li><li><p>
Dental, Vision, Life&amp; AD&amp;D Insurance along with Short-term disability and Long-Term Disability coverage</p></li><li><p>
401(k) Savings Plan, Employee Stock Purchase Plan</p></li><li><p>
Education Reimbursement</p></li><li><p>
Employee Discounts</p></li><li><p>
Employee Assistance Program</p></li><li><p>
Employee Referral Bonus Program</p></li><li><p>
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)</p></li><li><p>
More information can be downloaded at: http://uhg.hr/uhgbenefits</p></li></ul><p>
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.</p><div><b>
Required Qualifications:</b></div><ul><li><div>
High School Diploma/GED (or higher)</div></li><li><div>
1+ years of Pharmacy Technician or a Medical Assistant experience OR 1+ years of experience in a pharmacy setting</div></li><li><div>
1+ years of experience with basic computer software and keyboarding</div></li><li><div>
Must reside within a commutable distance to Everett and surrounding communities in Washington</div></li><li><div>
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)</div></li><li><div>
Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service</div></li></ul><div><b>
Preferred Qualifications:</b></div><ul><li><div>
Current certification from WA State Department of Health as a Certified Medical Assistant or WA State Pharmacy Technician License</div></li><li><div>
Knowledge of EMR (EPIC)</div></li><li><div>
Proficiency with keyboarding, documentation, and processing prior authorizations</div></li></ul><div><b>
Soft Skills:</b></div><ul><li><div>
Ability to work independently and maintain good judgment and accountability</div></li><li><div>
Demonstrated ability to work well with health care team</div></li><li><div>
Strong organizational and time management skills</div></li><li><div>
Ability to multi-task and prioritize tasks to meet all deadlines</div></li><li><div>
Ability to work well under pressure in a fast-paced environment</div></li><li><div>
Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others</div></li><li>All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.</li></ul><div><br>
</div><div></div><div>Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.</div><div></div><div><br>
</div><p><i>At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.</i></p><div></div><div><br>
</div><div></div><div><i>UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.</i></div><div></div><div><i><br>
</i></div><div></div><div><i>UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.</i></div><div></div><div><i><br>
</i></div><div></div><div>#RPO, #YELLOW</div></div><p></p>

Senior Retail Medication Prior Authorization Coordinator

Prima Systems

<p><b>POSITION SUMMARY:</b> The RCC Authorization Coordinator's primary responsibility is to perform stationary, telephonic communication for authorization of rehab services for managed care and insurance customers, with the goal to capture reimbursable managed care and commercial insurance revenue associated with outpatient services, in a timely and accurate manner to maximize timely billing. This position involves a variety of assignments requiring confidentiality and familiarity with the operating details of the overall company.</p><p><b>RESPONSIBILITIES/ACCOUNTABILITIES: </b></p><p><b>Authorization: </b></p><p><b>1.</b> Provide professional support to Rehab Services Operations personnel by obtaining all authorizations on all outpatient managed care and commercial insurance customers in accordance with HIPAA regulations in handling patient confidential information.</p><p><b>2.</b> Understand each managed care and commercial insurance plan&rsquo;s authorization/referral process and medical necessity requirements. Update quarterly or as necessary.</p><p><b>3.</b> Maintain an ongoing tracking log of all referrals&rsquo; open authorizations/re‐authorizations by facility by plan.</p><p><b>4.</b> Navigate insurance plan portals to understand benefit data and patient specific information (primary care physician, etc.) and generate referrals and authorizations if necessary.</p><p><b>5.</b> Communicate regularly and consistently concerning any patient or plan updates, via e‐mail and telephone, to rehabilitation and/or facility representatives.</p><p><b>6.</b> Maintain and verifies accuracy of records of correspondence, reports, and related matters.</p><p><b>7.</b> Assist in compiling and distributing activity reports to supervisor.</p><p><b>a.</b> Utilize proprietary software systems, e.g. ROX, etc., in order to accomplish all day‐</p><p>to‐day tasks, and create the related electronic documentation in order to ensure access to</p><p>information for all concerned.</p><p><b>8.</b> Educate new rehabilitation and facility staff as necessary concerning the authorization process and the role of the RCC Authorization Coordinator.</p><p><b>9.</b> Work with Managed Care Billing and Rehab Service personnel on billing/collection issues as required to accomplish payment for outpatient services authorized and rendered.</p><p><b>Administrative Support: </b></p><p><b>a.</b> Answer and screen phone calls and/or emails.</p><p><b>b.</b> Type reports, memos, letters, etc. which often involves matters of a confidential and</p><p>technical nature.</p><p><b>c.</b> Prepare and maintain files of correspondence reports and related matters.</p><p><b>d.</b> Assist in compiling and distributing all standardized departmental reports.</p><p><b>3. </b>Performs other related duties as required.</p><p><b>SPECIFIC EDUCATIONAL/VOCATIONAL REQUIREMENTS: </b></p><p><b>1.</b> High school diploma or related experience is required for this position.</p><p><b>2.</b> Familiarity with insurance terminology is preferred.</p><p><b>JOB SKILLS: </b></p><p><b>1.</b> Strong organizational skills and excellent verbal and written skills.</p><p><b>2.</b> Ability to successfully multi‐task under pressure and in stressful situations while maintaining professionalism at all times intact and poise.</p><p><b>3.</b> Demonstrates good judgment and initiative in selecting the most effective work methods and tools and be able to prioritize your work.</p><p><b>4.</b> Must have the ability to exercise administrative judgment within general guidelines.</p><p><b>5.</b> Must possess the ability to positively interact with employees at all levels of the organization and the general public.</p><p><b>6.</b> Demonstrates intermediate skills with Microsoft Office, especially with Outlook, Excel and Power Point. Comfortable learning and using proprietary business software applications.</p><p><b>7.</b> Must have the ability to accomplish rapid computer data entry.</p><p><b>8.</b> Superior internal and external customer service skills.</p><p><b>PERFORMS RELATED DUTIES: </b></p><p><b>1.</b> The RCC Authorization Coordinator interacts with Corporate, Area and center‐based staff on a variety of professional levels.</p><p>2. S/he carries out other tasks as requested in situations where additional support may be required</p><p>Job Type: Full-time</p><p>Pay: Rs80,000.00 - Rs90,000.00 per month</p><p>Experience:</p><ul><li>authorization: 2 years (Preferred)</li></ul><p>Language:</p><ul><li>English (Preferred)</li></ul><p>Location:</p><ul><li>Lahore (Preferred)</li></ul><p>Work Location: In person</p>

Prior Authorization Specialist

Ventegra

<p>Job Purpose</p><p>Ventegra is a fast paced, innovative virtual company. A Pharmacy Intake Coordinator provides daily operational support within the Prior Authorization department. They are an essential part of the team that assists in providing excellent service to our clients and members. A Pharmacy Intake Coordinator performs all assigned tasks accurately, efficiently, and per the applicable policies and procedures.</p><p>Duties and Responsibilities</p><ul><li>Review prior authorization faxes requested from physicians and triage within the prior authorization dashboard</li><li>Perform non-medical research, including eligibility verification, COB, and benefits verification.</li><li>Maintains accurate and complete documentation (ie, notes) of required information using templates that meets risk management, regulatory, and accreditation requirements.</li><li>Update additional documentation received in prior authorization cases and change status to the next process</li><li>Log on to the phone system during all scheduled shifts.</li><li>Make outbound calls to verify fax numbers and other information related to prior authorization requests.</li><li>Send prior authorization requests via email to specific groups and plans based on internal processes</li><li>Fax prior authorization documentation to physicians and pharmacies</li><li>Notify physicians and pharmacies of prior authorization determinations as needed</li><li>Maintain a working knowledge of all departmental policies, processes, updates, and resources</li><li>May provide backup support to other operations within the department, based on business needs.</li><li>Work in collaboration with the Prior Authorization team to meet department goals and regulatory requirements for turnaround times</li><li>Attend department staff and other meetings as requested</li><li>Review and implement all updated or new information discussed during staff meetings, provided by email, team chats, or other communications from leadership</li><li>Complete annual compliance training (ie, security, HIPAA, etc)</li><li>Protect the confidentiality of member information and adhere to all company policies regarding confidentiality and HIPAA</li><li>Meet individual metrics set by department leadership</li><li>Other duties as assigned by department leadership based on department needs</li></ul><p>Required Skills and Abilities</p><ul><li>Good verbal and written communication skills</li><li>Good interpersonal and organizational skills</li><li>Flexibility and ability to quickly adapt to changes and updates in processes and protocols</li><li>Demonstrated problem-solving skills when gathering and researching information</li><li>Ability to focus on tasks through completion with repetition</li><li>Strong prioritization skills</li><li>Strong attention to detail with consistent accuracy</li><li>Ability to work independently yet cohesively within a team to achieve results</li><li>Dependability and good attendance are an essential function of a Pharmacy Intake Coordinator</li><li>Strong ability to multi-task, including but not limited to working in multiple software systems simultaneously</li><li>Proficiency in Microsoft Office applications (ie, Teams, Outlook, Word, and Excel, etc).</li></ul><p>Education and Experience</p><ul><li>High School Diploma</li><li>Healthcare and pharmacy experience a plus</li></ul><p>Work environment requirements</p><p>A home office setting, free from noise and distraction allowing you to interact professionally both externally and internally</p><p>Pay: $15.00 per hour</p><p>Work Location: Remote</p>

Pharmacy Intake Coordinator

Wipro

<div>Job Description<p></p><div><div><ul><li><div><b><br>
</b><br>
</div></li></ul></div></div><div><div><div><div>Job Title: Intake Coordinator
</div></div></div></div><div><div><div><div>City: Tampa
</div></div></div></div><div><div><div><div>State/Province: Florida
</div></div></div></div><div><div><div><div>Posting Start Date: 4/10/26
</div></div></div></div><div><div><div><div>Wipro Limited (NYSE: WIT, BSE: 507685, NSE: WIPRO) is a leading technology services and consulting company focused on building innovative solutions that address clients&rsquo; most complex digital transformation needs. Leveraging our holistic portfolio of capabilities in consulting, design, engineering, and operations, we help clients realize their boldest ambitions and build future-ready, sustainable businesses. With over 230,000 employees and business partners across 65 countries, we deliver on the promise of helping our customers, colleagues, and communities thrive in an ever-changing world. For additional information, visit us at www.wipro.com.
</div></div></div></div><div><div><div><div>Job Description:
<div><div><div><h2 class="jobSectionHeader"><b>Job Description
</b></h2></div><div><p><b>Intake Coordinator
</b></p><p><b>Job-Type: </b>This is a remote/work from home (WFH), full-time direct hire position.
</p><p><b>Work authorization: </b>US Citizen or US Green Card only
</p><p><b>Pay: </b>$17.00 per hour
</p><p><b>Training: </b>Employees must be able to work M-F 9:30 am- 6 pm ET during our 10-12 day training program followed by 1 week of OJT (on the job training). Post training shifts may vary. All training will be conducted virtually from your home.
</p><p><b>Post Training: </b>After training, this position is full-time (40 hours/ week) with variable (varying) shifts to support our 7 am - 7pm CT, 7 days per week operations. Must be able to work on a weekend day.
</p><p>Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life&rsquo;s best work.
</p><p>Under the supervision of the Network Operations Supervisor, the Intake Coordinator is responsible for the daily coordination of Network Ops processes in the Intake Call Center. This position serves as the initial intake of pre - service requests, claim reviews and inpatient hospital coordination and diabetic supplies
</p><p>The Intake Coordinator is expected to maintain production and quality standards.
</p><ul><li><div><ul><li>Managing authorizations / notifications and other service requests received via incoming phone calls, faxes and portal submission
</li><li>Providing excellent customer service, including the ability to handle escalated callers
</li><li>Determining authorization or notification requirements
</li><li>Preparing authorization cases for Medical Directors, Network Operations Nurses and Case Managers
</li><li>Provides clerical support to clinical staff in their medical necessity review process Handling expedited authorizations, authorization updates and status checks
</li><li>Confirming member eligibility
</li><li>Outreaches to providers and/or Patient to complete authorization requests and prescriptions
</li><li>Maintaining knowledge of various health plan partner benefits, networks, CMS regulations and health plan partner policies
</li>Utilizing experience and judgement to plan, accomplish goals and effectively resolve each assigned task<br>
<li>
</li></ul></div></li></ul><p></p><p><b>Required:
</b></p><ul><li>Minimum of a High School Diploma or GED
</li><li>1+ years of professional experience in an office or healthcare environment
</li><li>Must be proficient in typing
</li><li>Prior customer service experience with inbound/outbound calls
</li><li>Experience working with Microsoft Office Products (Outlook, Word, Excel)
</li><li>Ability to work an eight (8) hour shift Monday-Friday between 7am- 7pm CT
</li><li>Flexibility to work outside standard hours of operations due to changing business needs
</li>Must have a designated work area established that is separate from other living areas and can be secured to maintain PHI or PI security in line with UnitedHealth Group policies and standards<br>
<li>
</li></ul></div></div></div></div></div></div></div><p></p><div><div><div><div><p>Mandatory Skills: Claims_Processing .<br>
</p><p></p><p>The expected compensation for this role ranges from $16/hr and $17/hr .<br>
</p><p></p><p>Final compensation will depend on various factors, including your geographical location, minimum wage obligations, skills, and relevant experience. Based on the position, the role is also eligible for Wipro's standard benefits including a full range of medical and dental benefits options, disability insurance, paid time off (inclusive of sick leave), other paid and unpaid leave options.<br>
</p><p></p><p>Applicants are advised that employment in some roles may be conditioned on successful completion of a post-offer drug screening, subject to applicable state law.<br>
</p><p></p><p>Wipro provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Applications from veterans and people with disabilities are explicitly welcome.<br>
</p><p></p><p>Reinvent your world. We are building a modern Wipro. We are an end-to-end digital transformation partner with the boldest ambitions. To realize them, we need people inspired by reinvention. Of yourself, your career, and your skills. We want to see the constant evolution of our business and our industry. It has always been in our DNA - as the world around us changes, so do we. Join a business powered by purpose and a place that empowers you to design your own reinvention.</p></div></div></div></div></div><p></p>

Intake Coordinator

Graff: Foot, Ankle & Wound Care

<p><b>**THIS IS NOT A REMOTE POSITION**</b></p><p><b>Clinic Referral Coordinator / Authorization &amp; Verification of Benefits</b></p><p><b>Location:</b> Plano, TX (with support across multiple DFW clinic locations)<br/><b>Employment Type:</b> Full-Time</p><p><b>About Us</b></p><p>Graff Foot Ankle &amp; Wound Care is a growing, multi-location podiatry and wound care practice serving patients across the DFW metroplex. We pride ourselves on delivering high-quality, patient-focused care while maintaining strong operational workflows behind the scenes. As we continue to expand, we are seeking a detail-oriented and proactive <b>Clinic Referral Coordinator / Authorization &amp; Verification of Benefits</b> to support our clinical and administrative teams.</p><p><b>Position Summary</b></p><p>The Clinic Referral Coordinator / Authorization &amp; Verification of Benefits plays a critical role in ensuring patients are scheduled appropriately, referrals are processed accurately, and insurance benefits and authorizations are obtained in a timely manner. This role requires strong communication skills, insurance knowledge, and the ability to manage multiple priorities in a fast-paced healthcare environment.</p><p><b>Key Responsibilities</b></p><ul><li>Receive, review, and process incoming referrals from internal and external providers</li><li>Verify patient insurance eligibility and benefits prior to appointments and procedures</li><li>Obtain prior authorizations for office visits, imaging, procedures, surgeries, wound care, DME, and specialty services as required</li><li>Communicate authorization requirements, coverage details, and financial responsibility to patients and clinic staff</li><li>Track and follow up on pending authorizations to avoid delays in patient care</li><li>Coordinate scheduling with clinic staff, providers, and surgery centers as applicable</li><li>Maintain accurate and complete documentation within the EHR and referral tracking systems</li><li>Communicate with insurance carriers, provider offices, and patients professionally and efficiently</li><li>Ensure compliance with payer guidelines, HIPAA regulations, and company policies</li><li>Assist with reporting, audits, and workflow improvements related to referrals and authorizations</li></ul><p><b>Qualifications</b></p><ul><li>High school diploma or equivalent required; healthcare-related coursework or certification preferred</li><li>Minimum <b>2 years of experience</b> in referrals, authorizations, or insurance verification in a medical office setting</li><li>Strong understanding of insurance plans (Medicare, Medicaid, and commercial payers)</li><li>Familiarity with CPT, ICD-10 codes, and authorization processes</li><li>Experience working in podiatry, surgical, wound care, or specialty practices is a plus</li><li>Proficient with EHR systems and Microsoft Office</li><li>Excellent organizational skills with strong attention to detail</li><li>Ability to handle confidential information with professionalism and discretion</li><li>Strong communication skills&mdash;both written and verbal</li></ul><p><b>What We Offer</b></p><ul><li>Competitive pay based on experience</li><li>Health, dental, and vision benefits</li><li>Paid time off and paid holidays</li><li>401(k) retirement plan</li><li>Supportive team environment with opportunities for growth</li><li>Stable, growing practice with multiple locations across DFW</li></ul><p>Pay: From $17.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Experience:</p><ul><li>Authorizations/Referrals: 1 year (Required)</li><li>Insurance verification: 1 year (Required)</li><li>Medical: 1 year (Required)</li></ul><p>Work Location: In person</p>

Referral Coordinator / Authorization & Verification of Benefits

Blanchard Valley Health System

<div><p><b>PURPOSE OF THIS POSITION</b></p><p>
The primary purpose of this position is to plan and coordinate the authorization functions for BVHS patients. Act as a liaison between the physicians, facilities, patients and professional billing companies. Coordinates information between patients, their insurance companies, and the facilities at which the patient is being served. Responsible for accurately entering patient data and interpreting insurance verification and coverage for patients.</p><p><b>
JOB DUTIES/RESPONSIBILITIES</b></p><ul>
<li>
Duty 1: Ability to process patient authorizations in a timely manner with accurate data.</li>
<li>Duty 2: Ability to use current EHR system and all insurance verification and authorization tools, identifies and confirms active insurance coverage and required authorizations for outpatient and inpatient services. Ability to discover/provide clinical data in the EHR or from the ordering provider to support authorization needs.</li>
<li>Duty 3: Ability to effectively communicate with insurance and governmental agencies in order to have complete and accurate procedure authorizations and approvals.</li>
<li>Duty 4: Ability to professionally communicate to all patients and office staff, and meet age specific requirements for handling their requests.</li>
<li>Duty 5: Continue to stay informed of any statute and/or regulation that could affect Authorization requirements.</li>
<li>Duty 6: Work through the retro auth request lists, working with denials, and have the ability to timely address order/rad changes that may affect an authorization.</li>
<li>Duty 7: Acts as a liaison between the facility, patient/family and ordering provider to resolve problems and/or address complaints.</li>
<li>Duty 8: Participates in a variety of unit and hospital educational programs to maintain current skills and competency levels. Participates in and fully supports new hire and other department training and shadowing. Provides a positive learning environment and compassionate mentoring.</li>
<li>Duty 9: Has ability to problem solve and offers assistance as needed to all customer groups.</li>
<li>Duty 10: Performs all duties and responsibilities in a manner consistent with and supportive of the mission and value statement of Blanchard Valley Health System.</li>
</ul><p><b>
REQUIRED QUALIFICATIONS</b></p><ul>
<li>
High school graduate or GED equivalent</li>
<li>Data entry and/or PC experience required</li>
<li>Medical terminology coursework or knowledge required</li>
<li>BWC, VA, Medicare, Medicaid and commercial healthcare insurance knowledge</li>
<li>Positive service-oriented interpersonal and communication skills required</li>
<li>Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status. Must be able to interpret the appropriate information needed to identify each patient&rsquo;s requirements relative to their age-specific needs and to provide the care needed as described in the area&rsquo;s policies and procedures.</li>
</ul><p><b>
PREFERRED QUALIFICATIONS</b></p><ul>
<li>
Some related college preferred</li>
<li>Insurance verification and authorization submission/verification experience preferred</li>
<li>Knowledge of current EHR and insurance verification/authorization software</li>
<li>Ability to meet remote work requirements.</li>
</ul><p><b>
PHYSICAL DEMANDS</b></p><p>
This position requires a full range of body motion with intermittent walking, lifting, bending, climbing, squatting, kneeling, twisting, sitting and standing. The associate must be able to lift 20-30 pounds or more. The individual must have excellent eye-hand coordination with the ability to grasp, push and pull, have fine fingers dexterity and manipulation. The associate must be able to reach work above the shoulders. This position requires corrected vision and hearing in the normal range. The associate must have excellent verbal skills to communicate with patients, physicians, and co-workers.</p><p><b>
This position is classified &ldquo;at risk&rdquo; for possible occupational exposure to blood borne pathogens (HBV, HIV, etc.)</b></p></div>
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</div><div></div><div><h3 class="jobSectionHeader"><b>Job Snapshot</b></h3>
<div><h4 class="jobSectionHeader"><b>Employee Type</b></h4>
Per Diem
</div><div><h4 class="jobSectionHeader"><b>Street Address</b></h4>
1900 South Main Street
</div><div><h4 class="jobSectionHeader"><b>Location Map</b></h4>
</div><div><h4 class="jobSectionHeader"><b>Date Posted</b></h4>
03/10/2026
</div><div><h4 class="jobSectionHeader"><b>Job ID</b></h4>
19726
</div><div><h4 class="jobSectionHeader"><b>Shift</b></h4>
1st</div></div></div>

Patient Access Authorization Specialist (PRN)

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