Groups Recover Together, Inc.

Compensation

Full Description

Overview The Operations Support Coordinator (OSC) plays a vital role in ensuring the accuracy, timeliness, and efficiency of key operational workflows that support member care. This position is responsible for managing essential administrative and clinical-adjacent functions such as medication prior authorizations, toxicology result entry, virtual direct observed testing oversight, clinical and operational scheduling, and program coordination for self-pay members. The OSC ensures that all tasks are completed in accordance with organizational standards, regulatory requirements, and established timelines to promote a seamless care experience. Responsibilities Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Responsible for preparing and submitting medication prior authorization requests and renewals. Investigate and resolve payer responses; communicate outcomes to appropriate teams; document actions in the EMR. Coordinate administrative duties such as prescription creation, attendance, payment collection, etc., as part of the Safety Net Program, and ensure program protocols are followed. Monitor and ensure procedural compliance for virtual Direct Observed Toxicology collections via oral swabs, troubleshooting and escalating issues as they arise. Responsible for accurate and timely entry of toxicology results, including confirmatory and state-specific (e.g., Kentucky) results. Collaborate with field clinical & operational teams to investigate and resolve workflow or data discrepancies. Maintain accurate medication records and compliance by processing prescription cancellations as needed. Ensure Accuracy in Data Management. Audit and maintain member information within the EMR system to ensure data integrity and compliance. Identify and communicate process improvement initiatives to enhance member care. Provide flexible and responsive support to Care Teams with additional administrative duties as assigned. Support clinical and operational scheduling, including staff and group coverage assignments. Provide timely, professional communication to internal teams, members, and external partners. Other Duties and Responsibilities: Other duties as assigned. Qualifications Knowledge, Skills and Abilities: Fluency with Google Suite (Sheets, Docs, Meet, Drive, etc.) and Microsoft Office applications Familiarity with electronic medical records (EMR) systems Ability to troubleshoot minor technological challenges and learn new software systems or processes as needed. Exceptional accuracy in data entry while maintaining productivity. Strong ability to prioritize tasks and manage complex administrative duties with attention to detail while meeting deadlines with little supervision. Ability to manage confidential and highly sensitive information in compliance with HIPAA and 42 CFR Part 2 guidelines. Ability to troubleshoot issues, identify solutions, appropriately escalate concerns, and adapt to new challenges effectively. Ability to work independently and as part of a team to achieve shared goals and maintain operational efficiency. Exceptional verbal and written communication skills, including the ability to effectively communicate data-related issues and solutions to team members or supervisors. Willingness to work evenings as needed to provide appropriate member care. Qualifications & Requirements: High school diploma or equivalent required Associate’s degree preferred, or 2+ years of relevant experience At least 1-2 years of experience in healthcare administration or a similar administrative role. For remote roles, access to reliable internet and telephone services, specifically 50M download and 10M upload packages or higher as well as a strong WiFi signal from your remote work location. Must meet pre-employment requirements and maintain all applicable state and job-related guidelines for background screening. Depending on state-specific requirements, this may include fingerprinting, drug testing, health screening, CPR/Basic First Aid, and license/credential verifications.