Authorization Coordinator II
We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Sutter Health System Office-BayPosition Overview:
Responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards.Job Description:
EDUCATION: HS Diploma or GED TYPICAL EXPERIENCE: 1 year recent relevant experience. SKILLS AND KNOWLEDGE: Medical terminology, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge. Knowledge of medical terminology/anatomy. Ability to exercise discretion and make independent judgments, seeking review when decisions represent significant departure from established guidelines. Knowledge of Microsoft Office programs including Excel, Word or similar programs. Ability to maintain composure during challenging interpersonal interactions. Active listening skills; including interpersonal skills and telephone communication. Organizational skills with attention to detail and follow-up.
Job Shift:
DaysSchedule:
Full TimeShift Hours:
8Days of the Week:
Monday - FridayWeekend Requirements:
As NeededBenefits:
YesUnions:
NoPosition Status:
Non-ExemptWeekly Hours:
40Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $0.00 to $0.00 / hour. San Francisco Bay Area Pay Range is $33.06 to $46.28 / hour. Sacramento Valley Area Pay Range is $28.75 to $40.24 / hour.The posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
High school diploma or GED; 1 year recent relevant experience; knowledge of medical terminology, CPT/HCPCS/ICD-9 coding, Microsoft Office; strong communication and organizational skills.
Key Responsibilities
- verifying patient eligibility
- obtaining prior authorizations
- documenting in EMR
Skills & Tools
Microsoft Excel, Microsoft Word, Electronic Medical Record (EMR)
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Entry Level
- Commitment: Full Time
- Workplace: Remote — Emeryville or Los Altos or Sacramento
- Languages: English
About Sutter Health
A healthcare system providing comprehensive medical services and benefits. — Industry: Healthcare