Health Services Authorization Coordinator I

Applications will close Wednesday, October 23^rd at 5pm PT.

We have an opportunity to join the Alliance as a Health Services Authorization Coordinator I in the Utilization Management and Complex Case Management Department. 

WHAT YOU'LL BE RESPONSIBLE FOR

• You will process incoming treatment and referral authorization requests and verify member plan eligibility
• Perform basic research on member authorization requests

ABOUT THE TEAM

We determine medical necessity and benefit coverage for our members based on industry standards.

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description, and list of requirements click here. 

• Knowledge of:
  • Standard business office practices and equipment
  • Medical terminology or billing codes procedures
  • Principles and practices of customer service
• Ability to:
  • Verify eligibility information utilizing various organizational sources
  • Interpret, explain and apply processes, policies and procedures
  • Pay close attention to detail and utilize effective organizational skills
  • Produce and maintain accurate records
  • Demonstrate strong customer service skills, specific to telephone inquiries
• Education and Experience:
  • High School Diploma or equivalent
  • A minimum of two years of experience in the health care field (an Associate’s degree may substitute for one year of the required experience or an equivalent combination of education and experience which would provide the required knowledge, skills and abilities may be qualifying

OTHER DETAILS

• While this position is connected to one of our Alliance offices, we are in hybrid remote/in-office work environment right now and we anticipate that the interview process will take place remotely.
• Our Alliance office locations have officially re-opened as of May 2, 2022 and while some employees may work in full-time telecommute schedules, attendance at quarterly company-wide events or department meetings will be expected.
• Based on the nature of work, this position may require onsite presence, which is dependent on business need. Details about this can be reviewed during the interview process.

COVID-19 Vaccine Requirement: At this time, the Alliance is requesting the vaccination status of its workforce for COVID-19. While this position doesn't require vaccination as a condition of employment, all employees are required to report their vaccination status, and, if vaccinated, provide proof of vaccination.