Coordinator, Care Access

What You Will Do

• Process authorizations, enter and audit data, and manage documentation across multiple systems to ensure accuracy and workflow efficiency.
• Support clinical operations through correspondence (letters, faxes) and by maintaining timely, compliant records aligned with productivity standards.
• Serve as a frontline resource by answering benefit, authorization, and referral questions while verifying member information in compliance with HIPAA.
• Deliver high-quality service through empathetic communication, basic screening, and escalate high-risk or crisis situations to clinical staff.
• Triage cases and route them appropriately to clinical teams, ensuring accurate and timely information flow for care decisions.
• Collect and share key data (e.g., discharge details, provider updates) to support continuity of care and cross-functional collaboration.

Required Qualifications

• Bachelor’s degree in Social Work, Psychology, or related healthcare field PLUS 1+ year experience in a health care, managed care, behavioral health, and/or customer service setting.
• OR High school diploma PLUS 3+ years’ experience in a health care, managed care, behavioral health, and/or customer service setting.
• Strong computer proficiency, including the ability to work within multiple systems simultaneously and accurately enter or retrieve data.
• Ability to talk and type simultaneously while navigating systems during live member interactions.
• Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen.

Competencies

• Self-motivated and able to assume a collaborative role in ensuring that all objectives are met.
• Able to work independently to meet team objectives/goals.
• Professional demeanor in response to all situations regardless of the nature or circumstances of the situation.
• Able to manage multiple tasks in a fast-paced, changing environment.
• Able to work within a collaborative, team-oriented environment.