Care Access Authorization Coordinator

VITRA Health is hiring, and we believe that our team is the key to our success. That is why we are looking for a Care Access Authorization Coordinator to join our Team! If you're a passionate, caring, motivated professional who is looking to make a difference in your community, we encourage you to apply today!

VITRA Health understands that most caregivers face tremendous financial and emotional challenges, often without compensation or support for their selfless efforts. That's why, at VITRA, we provide comprehensive assistance to caregivers with financial support, a customized care plan, community resources, and caring teams of nurses and case managers.

Job Overview :

The Care Access Authorization Coordinator is responsible for processes within all Care Access' pre- and authorization cycles for all VITRA's programs. They collaborate closely with managers, providers' offices and staff to ensure clients experience a seamless process to enroll in all services provided by VITRA. The role facilitates all authorization processes while supporting team members and collaborating with leadership.

This role is a full-time role at 40 hours per week. This position is not remote / hybrid eligible.

Essential Functions :

Demonstrates mastery of online authorization systems, insurance company requirements and status review.

Demonstrates the ability to track in-process authorizations from multiple sources.

Able to triage, train and coach team members to process necessary documentation to expedite approvals and ensure that appropriate follow-up is performed.

Reviews accuracy and completeness of information requested and ensures that all supporting documents are present, and tasks are assigned and or completed correctly.

Strong understanding of VITRA Health program offerings, competitive advantages, and operational workflows.

Maintain professional communication with prospective and current clients through various channels, upholding confidentiality at appropriate intervals and with consistency.

Coordinates authorizations, denials and works with clinical team to resolve issues.

Coordinates client data with the Revenue Cycle team to respond to changes in eligibility and authorization.

Collect and confirm relevant consumer and caregiver information.

Support all steps of the intake process as needed, including leveraging regional resources to support consumer experience.

Demonstrate and role model's strong customer Service skills required to communicate with clients, family members, providers, and other health care providers, as well as insurance companies and team members in a positive and professional manner.

Works efficiently with minimal supervision, exercising independent judgment within stated guidelines and policies.

Serves as the liaison between MassHealth, insurance companies and physicians office.

Serves as the pre-auth / authorization cycle trainer and expert resource for new and current team members.

Under the guidance of Care Access Manager (s) actively participates in process improvement initiatives and champions changes in a positive and constructive manner

Escalates issues to manager(s) as appropriate.

Maintain the highest standard of confidentiality for all protected health information.

Fosters a culture of customer service and commitment to quality care.

Serves as a brand ambassador for VITRA reflecting our vision, mission, and values.

Shows a genuine interest and compassion for the communities we serve and commitment to the diversity of our clients and team members.

Mentor and supports team members.

Other duties assigned.

Education, Experience and Licensure Requirements  :

Fluency in both English and second language strongly preferred.

Bachelor's degree is strongly preferred.

2+ years prior experience with sales, relationship management, or client enrollment preferred.

2+ years' experience and complete comfort using Microsoft Suite.

Excellent problem-solving, customer service, and communication skills required.

Prior experience with HubSpot, Salesforce, Optum, Wellsky, RingCentral or similar platforms preferred.

Strong ability to take initiative and confidently directs client interaction.

Knowledge of medical terminology.

Ability to multitask, learn new skills, and adapt to change.

Demonstrated ability to work independently, and willingness to work in the field if needed.

Ability to withstand varying job pressures, organize / prioritize related job tasks, and excellent attention to detail.

Adheres to client confidentiality.

Case management, behavioral health, social services and / or community health worker experience preferred.

Strong communication, documentation, and organizational skills are required.

Must be solution oriented and be able to multitask.

Physical and Environmental Demands :

Works in a clean, well-lit environment with fluctuating temperatures in close proximity to others.

Requires substantial periods of repetitive work utilizing a computer, monitor, keyboard, and mouse.

Requires lifting and carrying equipment and supplies weighing up to 35 pounds; require pushing and pulling equipment and supplies weighing up to 35 pounds; require walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to navigate stairs; requires visual acuity and manual dexterity to operate equipment.

Perks and Benefits :

Health Insurance with a 75% employer contribution.

Dental and Vision Benefits.

Supplemental Benefits

Life, Accident, Critical Illness and Disability Insurance.

401K with a company match.

Accrued Paid-Time-Off.

ADP LifeMart Corporate Discounts

Competitive Pay Rates.

Wellness Benefits.

Tuition Reimbursement.

Supportive team structure and company culture with a focus on work / life balance.

VITRA Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

Apply now!

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