Referral & Authorization Care Coordinator

Minimum of 2-3 years experience in healthcare coordination, care, or case management within a

remote digital healthcare space

Fluent in healthcare terminology with a working understanding of clinical concepts.

Background knowledge navigating health insurance plans and coverage, with ability to provide benefits breakdown analysis to consumers.

Comfortable and competent with common administrative technologies (Zoom, Slack, Office or equivalent), charting electronically in EMR/EHR systems

Experience in a high-growth startup or mission-driven healthcare organization.

$45,000 – $52,000 (commensurate with experience)

Employer-sponsored medical, dental, and vision coverage

Time Off:

Unlimited PTO + 11 paid company holidays

Retirement:

As our Care Coordinator specializing in Prior Authorizations & Referrals, you will manage back-office responsibilities including referral management, prior authorizations, specialty pharmacy & infusions, and medical records to help deliver and implement clinical strategies and support member care coordination in collaboration with a multidisciplinary clinical team.

You will use a high level of attention to detail, organization, and communication skills to obtain, manage, and follow up on member referrals and prior authorizations to ensure key care plan goals are met.

Collaborate with a multidisciplinary team of care providers (including MDs, NPs, RDs, Behavioral Health Providers, and Health Coaches) to provide a whole-person approach to member care.

Coordinate, track, and communicate patient referrals, prior authorizations, and medical records to promote team awareness and patient safety.

Provide complete and accurate registration of referrals and authorizations, including patient demographics, insurance information, and clinical documentation to external providers and specialty pharmacies.

Apply knowledge of CPT and ICD-10 codes to obtain authorizations in a timely manner while demonstrating understanding of payer medical policy guidelines.

Oshi Health is a virtual digestive health practice on a mission to transform GI care. We combine compassionate, multidisciplinary care with innovative technology to help people with chronic digestive conditions get the answers and relief they deserve. When you join Oshi, you're joining a team and a mission that's changing what great healthcare looks like. Oshi Health is revolutionizing GI care with a digital clinic model that provides easy, convenient access to an integrated and multidisciplinary care team that takes a whole-person approach to diagnosing, managing, and treating digestive health conditions. We take time to get to know each patient, develop a personalized, whole-person care plan that includes identification of symptom triggers and prescription of evidence-based interventions, including medications, dietary changes, and mental health support.

For Every Oshi Team Member We Want:

Genuine passion for improving patient lives and transforming GI care

Strong communication skills and emotional intelligence

Comfort in a fast-paced, remote-first, mission-driven environment