Behavioral Health Coordinator

Job Summary

To support the Behavioral Health team, the full-time Clinical Administrative Coordinator will validate provider and member eligibility for authorization requests, prepare Behavioral Health and Substance Use Disorder authorizations, and collaborate with leadership while working remotely within the Mountain Time Zone.

Key responsibilities:

• Verifies eligibility of providers and members for authorization requests and prepares necessary documentation
• Collaborates with leadership and refers members to the Care Coordination Department for aftercare planning
• Handles escalated calls, provides consultations, and drafts denial letters with alternative treatment options when necessary

Required qualifications:

• High School Diploma/GED
• 2+ years of experience analyzing and solving customer problems
• Must reside in the USA