Health Services Coordinator (Remote, US)

About the Role:

As the Health Services Coordinator, you will play a crucial role in entering Prior Authorizations and Pre-Approvals into the system as well as making outbound calls for Medical Records or additional documentation as needed. Reporting directly to the Manager of Health Services, you will perform the administrative day-to-day operations of the department and ensure seamless communication and collaboration within the team. You will work closely with the Nurse Case Managers and Manager of Health Services on daily cases and process documentation.

Role Responsibilities:

• Receive and enter Prior Authorizations and Pre Approvals into the system.
• Update cases on an as needed basis.
• Reach out to request Medical Records or additional documentation as needed.
• Assist and work closely with the Nurse Case Manager in managing member's cases on an ongoing basis and providing support where needed.
• Develop and maintain strong collaborative relationships with internal teams, members, and providers.
  
  

Key Competencies:

• Minimum of 1+ years of experience in the healthcare administration field
• 1+ years of experience in Prior Authorization or Case Management preferred
• Prior experience in a clinical setting is preferred
• Excellent communication and customer service skills.
• Experience in team management is highly desirable.
• Experience with Microsoft Office or similar.
• Familiarity with Salesforce systems is advantageous.
• Ability to communicate medical terminology and processes clearly to patients.
• Strong organizational skills and ability to thrive in a fast-paced environment.
• Demonstrated ability to maintain accurate documentation in systems.
• Thorough understanding of HIPAA regulations and commitment to maintaining patient confidentiality.
• Strong prioritization skills, with the ability to manage multiple responsibilities effectively.
• Proficiency in both verbal and written communication; bilingual skills are advantageous.
• Passionate about fostering strong relationships with internal teams, members, and providers.
• Strong communication skills, both verbal and written. Fluent in English; Bilingual a plus.
• Legally authorized to work in the US.
  
  

All new hires must successfully pass a background screening as part of the onboarding process.

The compensation for this position depends on experience, skills, qualifications, location, and competencies. We are a remote first organization with employees in 25 states and 5 countries and growing! We offer competitive compensation, bonus', and benefit packages, PTO (unlimited or 3 weeks accrued depending on the role) as well as a 401K match and regularly review these to align with industry standards. We also offer new employees a one time work from home reimbursement to set up your home office.

Pay Range

$25—$30 USD

About Us:

Better plans, better benefits, and better prices. Clearwater is a cutting edge InsurTech company headquartered in Austin, TX, the city known for its unicorns, tech giants, food scene, weirdness, and never-ending heat. Our team of innovators, operators, and healthcare veterans were determined to drive major change in our industry, once and for all. Whether you are seeking benefits as an individual, your family, or your business, we have the right plan, at the right price, with total transparency—even if it's not one of our exclusive offerings.

We are committed to fostering an inclusive environment where all employees feel valued, respected, and supported. We actively promote diversity in all its forms and strive to create equitable opportunities for everyone regardless of race, ethnicity, gender, sexual orientation, age, disability, religion, or any other characteristic protected by law.