Health Care Program Coordinator

Location: Harrisburg, PA, 17110

Skills: Health Care Program Coordinator

The Health Care Program Coordinator will be responsible for coordinating and managing health care programs in the Harrisburg, PA area. The ideal candidate will have experience in health care program coordination, as well as strong organizational and communication skills.

Responsibilities:

• Manage and balance priorities including, but not limited to, personal task queue, reports, and projects.
• Build Long Term Services and Support (LTSS) Authorizations based on the Participant Care Plans and follow scope of approval guidelines.
• Setup Long Term Services and Support (LTSS ) services based on Participant Care Plans through Provider outreach and Service Coordinator collaboration.
• Complete in-depth research to correct authorization discrepancies.
• Effectively communicate authorization decisions with Providers and Service Coordinators.
• Conduct comprehensive authorization reviews for denied claims and report on findings and necessary action plan.

Requirements:

• High school graduate with 3 years experience in a professional office setting within a healthcare environment, or a 4 year college degree from an accredited institution. 
• Strong organizational and communication skills
• Ability to work independently and as part of a team
• Knowledge of relevant regulations and guidelines
• Proficiency in Microsoft Office and other relevant software