For over 16 years, Trilyon has been at the forefront of providing comprehensive global workforce solutions and staffing services. Leveraging our extensive expertise across multiple domains such as Cloud technology, Salesforce, AI, Machine Learning, and Technical Writing, we consistently exceed expectations in catering to a wide range of requirements.
Job Title: Authorization Coordinator
Location: Remote
Duration: 26 Weeks
Requirements:
MUST HAVE EPIC EXPERIENCE
1+ year experience in healthcare administration, referrals, authorizations, or managed care
Experience processing referrals according to protocols, health plan requirements, and turnaround times
Proficiency in medical terminology and healthcare workflows
Experience with Microsoft Excel, Word, and managed care systems
Ability to document referral status and determinations accurately
Ability to identify, understand, and resolve referral-related issues
Preferred Requirements:
Experience in a health plan, medical group, or utilization management setting
Knowledge of CPT, HCPCS, and ICD-9 coding
Experience obtaining medical information for authorization determinations
Experience monitoring pending referrals and escalating anticipated delays
Summary / Duties:
The Authorization Coordinator I processes patient referral requests to support timely and accurate determinations. This role reviews referrals according to standard work, health plan contracts, and utilization management protocols, forwarding requests to nurses or physicians when required. The coordinator monitors pending referrals, maintains turnaround-time standards, documents referral updates and determinations, and assists providers and patients with status questions.
The position requires strong attention to detail, medical terminology knowledge, and effective communication of medical concepts and issues. The coordinator also identifies workflow problems, reports anticipated delays, and supports process improvements. Success requires organized remote work habits, sound judgment, adaptability, and the ability to manage changing priorities while maintaining accuracy.