Operations Support Coordinator
Groups Recover Together
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- Responsible for preparing and submitting medication prior authorization requests and renewals.
- Investigate and resolve payer responses; communicate outcomes to appropriate teams; document actions in the EMR.
- Coordinate administrative duties such as prescription creation, attendance, payment collection, etc., as part of the Safety Net Program, and ensure program protocols are followed.
- Monitor and ensure procedural compliance for virtual Direct Observed Toxicology collections via oral swabs, troubleshooting and escalating issues as they arise.
- Responsible for accurate and timely entry of toxicology results, including confirmatory and state-specific (e.g., Kentucky) results.
- Collaborate with field clinical & operational teams to investigate and resolve workflow or data discrepancies.
- Maintain accurate medication records and compliance by processing prescription cancellations as needed.
- Ensure Accuracy in Data Management.
- Audit and maintain member information within the EMR system to ensure data integrity and compliance.
- Identify and communicate process improvement initiatives to enhance member care.
- Provide flexible and responsive support to Care Teams with additional administrative duties as assigned.
- Support clinical and operational scheduling, including staff and group coverage assignments.
- Provide timely, professional communication to internal teams, members, and external partners.
Requirements
- High school diploma or equivalent required
- Associate’s degree preferred, or 2+ years of relevant experience
- At least 1-2 years of experience in healthcare administration or a similar administrative role.
- Fluency with Google Suite (Sheets, Docs, Meet, Drive, etc.) and Microsoft Office applications
- Familiarity with electronic medical records (EMR) systems
- Ability to troubleshoot minor technological challenges and learn new software systems or processes as needed.
- Exceptional accuracy in data entry while maintaining productivity.
- Strong ability to prioritize tasks and manage complex administrative duties with attention to detail while meeting deadlines with little supervision.
- Ability to manage confidential and highly sensitive information in compliance with HIPAA and 42 CFR Part 2 guidelines.
- Exceptional verbal and written communication skills, including the ability to effectively communicate data-related issues and solutions to team members or supervisors.
Benefits
- Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data entrymedication prior authorizationtoxicology results managementprescription processingworkflow investigationprocess improvementadministrative dutiescompliance monitoringdata managementscheduling
Soft Skills
attention to detailtask prioritizationcommunicationproblem-solvingconfidentiality managementflexibilityteam collaborationindependenceorganizational skillsresponsiveness
Certifications
high school diplomaassociate's degree