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Program Coordinator

đź•’ July 15

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🦅 H1B Visa Sponsor

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đź‘» Ghost score 52%

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Logo of WellSky

WellSky

1001 - 5000 employees

Founded 1980

🏥 Healthcare

đź’Ľ Consulting

📦 Logistics

đź’° Private Equity Round on 2020-07

Healthcare • Consulting • Logistics

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.

đź“‹ 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 • Perform other duties as assigned • Serve as a central point of contact between hospital clients, payers, physicians, and clinical reviewers • Ensure authorization requests are processed accurately, efficiently, and within established timelines • Deliver exceptional customer service

🎯 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 • Willing to work additional or irregular hours as needed • Must work in accordance with applicable security policies and procedures to safeguard company and client information • Must be able to sit and view a computer screen for extended periods of time • Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States • Verification of employment eligibility will be required at the time of hire • Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates

🏖️ Benefits

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

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