Paradigm Management Services L Hiring for Authorization Intake Coordinator – Fully Remote at Remote Full Time

Paradigm is an accountable care management organization focused on improving the lives of people with complex and catastrophic injuries and diagnoses. We have been a pioneer in value-based care since 1991, offering deep clinical expertise, high-value specialty networks, behavioral health support, payment integrity solutions, and robust data analytics to generate the very best outcomes for patients, payers, and providers.

Come join our growing team as an Authorization Intake Coordinator. This position holds accountability for support of Paradigm Management teams by providing administrative support focused on processing authorization of service requests.

. Requirements:
DUTIES AND RESPONSIBILITIES:

• Primary accountability for processing of provider requests for authorization of services received in dedicated facsimile and email inbox.
• Review incoming medical records to identify initial requests for authorization of services.
• Completes data entry and reporting for initiation of authorization of service requests.
• Verify completeness and determine validity of requests for authorization.
• Scan documents and electronically uploading filings.
• Makes outbound calls to providers to request additional information.
• Supports achievement of Paradigm’s authorization guidelines by tracking timelines and turnaround times per state regulations.
• Communicates with Network Manager (NWM) or other team members as necessary for status of authorization process.
• Use knowledge of medical terminology to accurately classify medical records while uploading to ECL while following all security procedures.
• Other duties as assigned.
• Responsible for complying with Paradigm IT security requirement and policies.
• Responsible for safeguarding Paradigm or Paradigm related IT passwords.
• Responsible for notifying Paradigm of any IT security incidents per policy 16.0 Information Security Incident Management.

QUALIFICATIONS:

• High School diploma or equivalent.
• 2 years administrative office experience in a medical setting preferably as a medical assistant, or in medical records.
• Superior organizational skills and attention to detail.
• Excellent verbal and written communication skills; must be able to diplomatically address conflicts and issues, and negotiate successful resolution for all parties.
• Knowledge of medical terminology used in acute care and rehabilitation settings.
• Intermediate computer skills including knowledge of various software including Outlook, MS Word, Excel and faxing software.
• Ability to learn new processes quickly. Any combination of knowledge, skill, experience, and/or education that demonstrates an ability to perform the functions of the position.

PM19