Program Coordinator

Job not on LinkedIn

🔥 4 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🦅 H1B Visa Sponsor

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Logo of WellSky

WellSky

1001 - 5000 employees

Founded 1980

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

💰 Private Equity Round on 2020-07

Healthcare Insurance • SaaS • Artificial Intelligence

WellSky is a leading healthcare technology company dedicated to improving healthcare and community care outcomes worldwide. By offering comprehensive software solutions and analytics, WellSky enables healthcare providers, payers, and community organizations to collaborate and enhance care quality and accessibility. Their focus spans intelligent care management, connected care networks, and transformative analytics, aiming to create more efficient, inclusive, and sustainable healthcare systems. WellSky addresses social determinants of health and emphasizes patient and family engagement, supporting care in various settings including home, long-term, and acute care.

📋 Description

• Coordinate authorization requests from intake through final payer determination • Assign cases to clinical reviewers and monitor progress through completion • Submit authorization requests and supporting documentation to payers • Answer inbound calls and provide front-line support for the team • Maintain accurate records and ensure all information is documented appropriately • Support process improvement initiatives and perform other duties as assigned

🎯 Requirements

• Bachelor's degree or equivalent work experience • 0-2 years of relevant work experience • Experience in a healthcare or healthcare operations environment preferred • LPN, Medical Assistant (MA), or other clinical licensure/certification preferred • Knowledge of medical terminology • Strong written and verbal communication skills • Strong organizational and time management skills • Working knowledge of Microsoft Office products • Customer service experience

🏖️ Benefits

• Excellent medical with Rx, dental, and vision benefits • Mental Health support through EAP • Generous paid time off, plus 13 paid holidays • 100% vested 401(K) retirement plans • Educational assistance up to $2500 per year

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