We are looking for a Review Coordinator to support administrative review activities in Minnesota. This contract position is well suited for someone who can balance accuracy, service, and timely follow-through while working with healthcare-related requests and documentation. The role focuses on coordinating reviews, managing service inquiries, and ensuring work aligns with internal procedures and regulatory expectations.
Responsibilities:
- Coordinate incoming review and referral requests, confirm required information is complete, and route items for appropriate follow-up.
- Enter, update, and maintain case details in internal systems with a high degree of accuracy and timeliness.
- Research service requests, prior authorization materials, and supporting records to help ensure informed review outcomes.
- Communicate with internal teams and external contacts to resolve missing information, clarify submissions, and provide attentive service.
- Monitor assigned workloads, prioritize urgent items, and support triage activities to keep reviews moving efficiently.
- Apply department guidelines, health plan requirements, and accreditation standards when handling non-clinical review processes.
- Track status changes, document actions clearly, and prepare complete records for audit readiness and reporting needs.
- Assist with workflow improvement efforts by identifying delays, supporting process optimization, and promoting consistent administrative practices.