Patient Care Coordinator
Pride Health · Concord, MA · Yesterday
On-siteOTHR$23–$25.3/hrFull-time
Location: Concord, MA | Job Type: Contract | Contract Length: 3 months (possibility of extension)
Schedule
8:30 AM – 5:00 PM
Pay
$23/hr - $25.30/hr (based on experience, expertise, credentialing, and education)
Responsibilities
- Answer inbound calls from providers, members, and healthcare facilities regarding authorizations, benefits, and case status.
- Review and process prior authorization requests received via phone, fax, or electronic submission.
- Create and document authorization cases accurately in the Utilization Management system or EMR/EHR.
- Route cases requiring medical necessity review to nurses (RNs/LVNs) or Medical Directors.
Requirements
- High School diploma or equivalent.
- 1–3 years of relevant experience.
Benefits
- Comprehensive healthcare coverage (medical, dental, and vision plans).
- Supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity).
- 401(k) retirement savings plan.
- Life and disability insurance.
- Employee assistance program and legal support.
- Auto, home, and pet insurance.
- Employee discounts with preferred vendors.