Operations Support Coordinator

Posted 75ds ago

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Operations Support Coordinator at Recover Together, Inc. managing key operational workflows supporting member care remotely.

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.

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.

Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.