Role Summary: Patient Coordinator & Authorization Specialist
Position Overview
We are seeking a high-performing Patient Coordinator & Authorization Specialist to manage high-volume prior authorizations, eligibility verification, and bilingual patient navigation. This position serves as a critical bridge between patient care and operational workflow, requiring expertise in electronic medical records, payer processes, and front-desk coordination.
Primary Responsibilities
- High-Volume Authorizations & Follow-ups: Submit, track, and manage 50+ prior authorization requests weekly, ensuring timely approvals and resolving payer denials efficiently.
- Eligibility & Benefits Verification: Perform real-time eligibility and coverage verifications (50+ daily) to confirm patient benefits prior to scheduled appointments.
- Front Desk & Scheduling Support: Handle appointment confirmations, patient check-ins/check-outs, and general reception duties to maintain seamless office operations.
- Bilingual Patient Communication: Provide fluent English and Spanish translation and support to deliver compassionate, accurate communication for Spanish-speaking patients.
- Administrative & Patient Coordination: Assist with cross-functional administrative duties, medical record requests, and patient care management as needed.
- Must-Have Requirements
- EMR Mastery: Hands-on experience with Office Ally is strictly required.
- Prior Authorization & Eligibility: Proven background executing 50+ eligibility checks and authorization workflows daily.
- Language Proficiency: Fluent in Spanish and English (spoken and written).