Prior Authorization Coordinator

MENTOR Adult Day Health, a member of the Sevita family, provides day programs for elders with complex medical or rehabilitative needs. This allows seniors to obtain quality healthcare while remaining active and involved in the community and continuing to live in their own homes. Our programs are staffed with qualified, experienced licensed nurses and caregivers who are trained to provide individual assistance to each person we serve.

Intake Coordinator – Prior Authorizations Team (Remote, 32 hrs/week)

Job Type

32 hours/week | Remote | Flexible Schedule

Looking for rewarding work in an organization dedicated to making a positive impact in the lives of others?

Join a team-based workplace that puts people first, where your administrative and clinical knowledge will directly support individuals receiving essential services.

We are seeking a detail-oriented Intake Coordinator to support our Prior Authorizations Team. This flexible remote position is 32 hours per week and plays a key role in reviewing, submitting, and tracking prior authorizations to help individuals access the care they need.

What You’ll Do

• Manage and accept referrals
• Review medical records, orders, and intake paperwork for accuracy and completeness
• Submit prior authorization requests through the OPTUM LTSS (MA Health) portal
• Retrieve authorizations, save to URC folders, and track status updates
• Communicate and collaborate closely with Billing, Nursing/Program Directors, and Intake teams
• Input data and complete placement documentation, identifying and resolving documentation issues
• Collect and verify intake demographics, insurance/payment details, and referral information
• Create and maintain individual files and ensure all paperwork is complete
• Complete reporting requirements in line with regulatory and corporate standards
• Provide general support and assist others in resolving administrative issues within your scope
  
  

Qualifications

• Bachelor’s degree in Human Services, Healthcare Administration, or related field preferred
• At least 2 years of relevant experience preferred
• Knowledge of ICD-10, medical terminology, or basic clinical understanding strongly preferred
• Strong organizational and communication skills
• Self-motivated, detail-oriented, and comfortable working independently in a remote environment
• Experience with healthcare portals (especially OPTUM LTSS) is a plus
  
  

Why Join Us?

• Flexible, remote work environment
• Full benefits package for eligible employees
• 401(k) with company match
• Paid time off and holiday pay
• Be part of a supportive team doing mission-driven work
• Opportunities for growth within a nationwide organization
  
  

We have meaningful work for you – come join our team. Apply Today!

Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve.

As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.