Prior Authorization Coordinator

Welcome to UnitedHealth Group, one of the leading healthcare companies in the United States. We are currently seeking a highly motivated and detail-oriented Prior Authorization Coordinator to join our dynamic team. In this role, you will play a crucial role in ensuring timely and accurate processing of prior authorization requests for medical services. If you are passionate about making a positive impact on people's lives and have a strong background in healthcare administration, we want to hear from you! Join us in our mission to help people live healthier lives and make a difference in the healthcare industry.

1. Process Prior Authorization Requests: The Prior Authorization Coordinator will be responsible for reviewing and processing prior authorization requests for medical services in a timely and accurate manner.
2. Ensure Compliance: It will be the responsibility of the Prior Authorization Coordinator to ensure that all prior authorization requests are processed in accordance with company and industry standards and regulations.
3. Communicate with Healthcare Providers: The successful candidate will be responsible for communicating with healthcare providers to obtain necessary information and documentation for prior authorization requests.
4. Maintain Accurate Records: The Prior Authorization Coordinator will be responsible for maintaining accurate and up-to-date records of all prior authorization requests and their status.
5. Collaborate with Team Members: This role will require collaboration with other team members, such as nurses and medical coders, to ensure efficient processing of prior authorization requests.
6. Resolve Issues: The Prior Authorization Coordinator will be responsible for identifying and resolving any issues or discrepancies in prior authorization requests, and escalating to management when necessary.
7. Stay Informed: It will be the responsibility of the Prior Authorization Coordinator to stay updated on industry changes and updates related to prior authorization processes.
8. Prioritize and Meet Deadlines: The successful candidate will be responsible for prioritizing and meeting deadlines for processing prior authorization requests to ensure timely approval of medical services for patients.
9. Provide Excellent Customer Service: The Prior Authorization Coordinator will serve as a point of contact for patients and healthcare providers, and will be responsible for providing excellent customer service and addressing any inquiries or concerns in a professional and timely manner.
10. Adhere to Company Policies: The successful candidate will be responsible for adhering to all company policies and procedures, including those related to confidentiality and data protection, in the processing of prior authorization requests.

According to JobzMall, the average salary range for a Prior Authorization Coordinator in Everett, WA, USA is between $40,000 and $60,000 per year. However, this can vary depending on factors such as experience, education, and the specific company or healthcare organization the coordinator works for.

UnitedHealth Group Incorporated is an American for-profit managed health care company based in Minnetonka, Minnesota. UnitedHealth Group, Inc. provides health care coverage, software and data consultancy services. It operates through the following segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment utilizes Optum's capabilities to help coordinate patient care, improve affordability of medical care, analyze cost trends, manage pharmacy benefits, work with care providers more effectively, and create a simpler consumer experience.