Operations Support Coordinator

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Groups Recover Together

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2014

⚕️ Healthcare Insurance

🌍 Social Impact

🧘 Wellness

Healthcare Insurance • Social Impact • Wellness

Groups Recover Together is a recovery support organization that specializes in helping individuals regain control of their lives from substance use disorders, particularly focusing on opioid recovery. They offer fast access to Suboxone treatment and provide a range of support options, including in-person and virtual treatment, while accepting insurance and Medicaid. With a non-judgmental approach and a strong emphasis on community support, Groups aims to help members rebuild their lives and maintain their recovery effectively.

📋 Description

• Responsible for preparing and submitting medication prior authorization requests and renewals. • Investigate and resolve payer responses; communicate outcomes to appropriate teams; document actions in the EMR. • Coordinate administrative duties such as prescription creation, attendance, payment collection, etc., as part of the Safety Net Program, and ensure program protocols are followed. • Monitor and ensure procedural compliance for virtual Direct Observed Toxicology collections via oral swabs, troubleshooting and escalating issues as they arise. • Responsible for accurate and timely entry of toxicology results, including confirmatory and state-specific (e.g., Kentucky) results. • Collaborate with field clinical & operational teams to investigate and resolve workflow or data discrepancies. • Maintain accurate medication records and compliance by processing prescription cancellations as needed. • Ensure Accuracy in Data Management. • Audit and maintain member information within the EMR system to ensure data integrity and compliance. • Identify and communicate process improvement initiatives to enhance member care. • Provide flexible and responsive support to Care Teams with additional administrative duties as assigned. • Support clinical and operational scheduling, including staff and group coverage assignments. • Provide timely, professional communication to internal teams, members, and external partners.

🎯 Requirements

• High school diploma or equivalent required • Associate’s degree preferred, or 2+ years of relevant experience • At least 1-2 years of experience in healthcare administration or a similar administrative role. • Fluency with Google Suite (Sheets, Docs, Meet, Drive, etc.) and Microsoft Office applications • Familiarity with electronic medical records (EMR) systems • Ability to troubleshoot minor technological challenges and learn new software systems or processes as needed. • Exceptional accuracy in data entry while maintaining productivity. • Strong ability to prioritize tasks and manage complex administrative duties with attention to detail while meeting deadlines with little supervision. • Ability to manage confidential and highly sensitive information in compliance with HIPAA and 42 CFR Part 2 guidelines. • Ability to troubleshoot issues, identify solutions, appropriately escalate concerns, and adapt to new challenges effectively. • Ability to work independently and as part of a team to achieve shared goals and maintain operational efficiency. • Exceptional verbal and written communication skills, including the ability to effectively communicate data-related issues and solutions to team members or supervisors. • Willingness to work evenings as needed to provide appropriate member care.