Job Description

The Program Coordinator is responsible for coordinating and supporting WellSky's Authorization Management program. This role serves as a central point of contact between hospital clients, payers, physicians, and clinical reviewers to ensure authorization requests are processed accurately, efficiently, and within established timelines.

The ideal candidate is highly organized, detail-oriented, and able to manage multiple priorities in a fast-paced healthcare environment while delivering exceptional customer service.

Key Responsibilities

• Coordinate authorization requests from intake through final payer determination
• Assign cases to clinical reviewers and monitor progress through completion
• Submit authorization requests and supporting documentation to payers
• Answer inbound calls and provide front-line support for the team
• Maintain accurate records and ensure all information is documented appropriately
• Support process improvement initiatives and perform other duties as assigned

Required Qualifications

• Bachelor's degree or equivalent work experience
• 0-2 years of relevant work experience

Preferred Qualifications

• Experience in a healthcare or healthcare operations environment
• LPN, Medical Assistant (MA), or other clinical licensure/certification preferred
• Knowledge of medical terminology
• Strong written and verbal communication skills
• Strong organizational and time management skills
• Working knowledge of Microsoft Office products
• Customer service experience

Job Expectations:

• Willing to work additional or irregular hours as needed
• Must work in accordance with applicable security policies and procedures to safeguard company and client information
• Must be able to sit and view a computer screen for extended periods of time

WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.

WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.

Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.

Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:

• Excellent medical with Rx, dental, and vision benefits

• Mental Health support through EAP

• Generous paid time off, plus 13 paid holidays

• 100% vested 401(K) retirement plans

• Educational assistance up to $2500 per year