As an Authorization Coordinator at Four Seasons Healthcare Solutions, you will be a crucial part of our team, ensuring that our patients receive the care they need through effective management of authorizations. Your responsibilities will include:
Authorization Management:
Track and monitor all existing authorizations.
Request new authorizations prior to their expiration date.
Communicate with Managed Long-Term Care (MLTC) organizations for all authorization needs.
Enter and scan all authorizations, ensuring all patient profile information (e.g., language, address, phone number) is entered and/or updated.
Coordination and Communication:
Adjust master schedules to reflect new authorizations and send notifications to relevant departments.
Advise the coordination department of any changes or new authorizations.
Act as a liaison between Intake and Coordination departments.
Utilization Management:
Ensure no patients are exceeding their utilization limits.
Follow up with contracts for discharge authorizations.
Advise the coordination department about discharges to prevent schedule rollover and ensure timely responses.
Monitoring and Reporting:
Monitor all insurance portals for updated authorizations.
Run weekly reports on under and over utilizations and discharge events.
Monitor Electronic Visit Verification (EVV) utilization and develop programs to adhere to QUAPI meetings.
Quality Assurance:
Perform quality assurance on patient and caregiver profiles.
Call and terminate non-active aides.
Follow up with patients on hold, vacation, or hospitalization.
Assist Payroll with customer service and clerical needs.
Qualifications:
Previous experience in a healthcare setting, preferably with authorization management.
Strong organizational skills and attention to detail.
Excellent communication and interpersonal skills.
Proficiency with electronic health records (EHR) systems and insurance portals.
Ability to work collaboratively in a fast-paced environment.
Benefits:
Competitive salary
Health, dental, and vision insurance
Paid time off (PTO) and holidays
Professional development opportunities
About Four Seasons Healthcare Solutions:
Four Seasons Healthcare Solutions is dedicated to providing high-quality care and services to our patients. We are committed to fostering a supportive and collaborative work environment where our employees can thrive and grow.
Join our team and make a difference in the lives of those we serve!
- Experience
- Required
- Languages
- English – Advanced
- Employment
- Full-time
- Schedule
- Monday-Friday 9am-5pm
1535 Rockaway Parkway, Canarsie, Brooklyn, 11236, New York
Hospital • More than 250 Employees
Hiring on JOB TODAY since August, 2024
At Four Seasons Healthcare Services, our medical model adult day health care programs provide a safe and supportive environment for adults who require comprehensive health services.
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