Coordinator III - Prior Authorization

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

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Join Cleveland Clinic’s Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world class and caregivers are family. Here, you will work alongside a passionate and dedicated team, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.  

At Cleveland Clinic, everyone is a caregiver, including our essential administrative and non-clinical staff. All efforts are vital in helping us continue to provide the exceptional care our patients and communities expect. As Coordinator III, your contributions will help advance this mission. In this role, you will oversee all activities within your department, ensuring organization and workflow, primarily handling faxed requests such as contacting patients regarding insurance issues and reaching out to insurance companies to determine third-party coverage. Your work is critical for the team, as you help create an environment that enables fellow caregivers to work efficiently and cohesively.

A caregiver in this position works a remote schedule consisting of four 10-hour shifts on Friday, Saturday, Sunday and Monday from 7:00 a.m. -- 5:30 p.m.

The role also requires meeting once per month, either at the Main Campus or an off-site location for team building.

A caregiver who excels in this role will:  

• Coordinate all support and clerical activities for the department by providing support to internal clients while functioning as a liaison with external clients.  

• Coordinate various department activities by facilitating analysis and reporting information. 

• Develop, maintain and distribute reports for schedules, budgets, staff, PTO and patient information.  

• Prepare, provide analysis for and implement special studies and projects.  

Minimum qualifications for the ideal future caregiver include:  

• High School Diploma or GED 

• Five years of office experience 

• Five years of experience coordinating and assisting with management functions and special projects 

• Proficient with spreadsheets, word processing and database software 

Preferred qualifications for the ideal future caregiver include:

• Prior experience with prior authorizations

• Experience with medications, infusions, or pre-access work.

• Familiarity with tools like CoverMyMeds, SureScripts and Epic

• Previous Epic experience

Physical Requirements:

• Ability to perform work in a stationary position for extended periods

• Ability to operate a computer and other office equipment

• Ability to travel throughout the hospital system

• Ability to communicate and exchange accurate information

• In some locations, ability to move up to 20 pounds

Personal Protective Equipment:

• Follows standard precautions using personal protective equipment as required. 

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/

Please review the Equal Employment Opportunity poster. 

Cleveland Clinic is pleased to be an equal employment opportunity employer.