REMOTE Healthcare Delegation Coordinator
Employer Industry: Healthcare Services
- Why consider this job opportunity...
- Fully remote position offering flexibility in work location
- Opportunity for career advancement and growth within the organization
- Supportive and inclusive work environment fostering diversity and equity
- Chance to work with a global leader in engineering and sciences services
- Competitive pay and a contract position with a duration of 6 months
- What to Expect (Job Responsibilities):
- Verify member eligibility and health plan benefits using established guidelines
- Communicate with providers regarding authorizations, modifications, and denials
- Monitor patient outcomes to identify areas for improvement and implement changes
- Prepare denial letters for review by Medical Director or Nurse Reviewer(s)
- Collaborate with internal departments to obtain necessary information for processing authorizations
- What is Required (Qualifications):
- Strong analytical skills to review compliance documentation and performance metrics
- Experience in delegation coordination and compliance auditing
- Knowledge of HIPAA regulations and coding (CPT, ICD-10, HCPCS)
- Professional communication skills and attention to detail
- Availability to work Monday - Friday, 8 AM - 5 PM
- How to Stand Out (Preferred Qualifications):
- Experience in healthcare-related roles or authorization processes
- Familiarity with Service Levels Agreements (SLA) and quality improvement initiatives
- Previous experience in a remote work environment
#HealthcareServices #RemoteWork #CareerOpportunity #DiversityAndInclusion #HealthcareCompliance
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