Administrative Support Coordinator

Remote

Grand Rapids, MI

Full time

R224180

Make an impact behind the scenes that helps deliver exceptional healthcare experiences. As an Administrative Support Coordinator at Priority Health, you'll play a critical role in supporting members, providers, and internal teams through the coordination of authorizations, appeals, claims resolution, peer-to-peer reviews, and provider communications. This role is ideal for a detail-oriented professional who thrives in a fast-paced environment, exercises sound judgment, manages competing priorities, and collaborates across teams to drive operational excellence and outstanding service. If you're looking for an opportunity to make a meaningful impact while growing your career in a dynamic healthcare organization, we encourage you to apply and join our team.

Job Summary

The Administrative Support Coordinator plays a vital role in supporting daily operations by coordinating authorization intake and processing, managing appeals and QIO appeal activities, resolving provider inquiries, scheduling peer-to-peer reviews, conducting claims research, and developing member and provider communications. This position serves as a key liaison across teams, ensuring timely, accurate, and efficient resolution of administrative and operational matters.

The ideal candidate demonstrates strong attention to detail, sound judgment, and the ability to successfully manage competing priorities in a fast-paced environment. Through effective problem-solving, process coordination, and cross-functional collaboration, the Admin Support Coordinator contributes to operational excellence and helps ensure a positive experience for members, providers, and internal stakeholders.

Essential Functions

• AUTHORIZATIONS: authorization fax intake, authorization creation, appropriate work queue routing, administrative approvals

• APPEALS: medical appeals and QIO appeal intake - which includes weekend coverage

• PROVIDER RESOLUTION: authorization change requests and provider resolution of requests associated with authorizations and appeal

• PEER-TO-PEER: peer-to-peer phone intake and scheduling on behalf of our medical directors

• CLAIMS: claim resolution, medical record outreach, pharmacy-to-medical resolution

• Utilizes the appropriate software applications to maximize efficiency and effectiveness of office workload.

• Communicates in a manner consistent with caring and respect and follows established policies for confidentiality.

• Collects, compiles, and prepares data for analysis and develops systems that facilitate tracking of data. Manipulates data to develop unique reports to meet special requests and reviews reports/data to determine accuracy.

• Directs and maintains accountability for completion of complex, multi-faceted programs/projects

Qualifications

Required

• Associate's Degree or equivalent course work in office administration/secretarial science

• 2 years of relevant experience in secretarial/clerical and computer skills

• 2 years of relevant experience in administrative projects, program management, hospital/physician office, statistical data collection and analysis

• 2 years of relevant experience working in a high volume service industry in business or accounting, cash handling, data systems, managed care, and Medicare product industry

• 2 years of relevant experience in a health care or medical research environment

• 2 years of relevant experience dealing with the public, preferably in the medical or customer service field

• 2 years of relevant experience in database development

• 2 years of relevant experience in a clinical setting directing the workload of others, specimen collection and client services

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here ( .

• On-demand pay program powered by Payactiv

• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

• Optional identity theft protection, home and auto insurance

• Traditional and Roth retirement options with service contribution and match savings

• Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Priority Health - 1231 E Beltline Ave NE - Grand Rapids

Department Name

Utilization Management Operations - PH Managed Benefits

Employment Type

Full time

Shift

Variable (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8:30 a.m. - 5 p.m. EST

Days Worked

Monday to Friday

Weekend Frequency

Every other weekend

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling View phone number on click.appcast.io.

People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.