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 At Talentify, we prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. Talentify is not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer Apply Job!