Authorization Coordinator I

Sutter Health • Sacramento, CA

1d • $30 - $38 • Hybrid

About The Position

Processes referral requests for patients to achieve timely and accurate determinations. Works within scope of practice to complete or forward requests as appropriate to Managed Care physicians and/or nurses as per the Utilization Management (UM) protocols. Maintains required turnaround times for referral completion. Assists providers and patients with referral status questions. Participates in development and implementation of improvements to the referral process and workflows.

This role has the opportunity to work at home. The person selected will be required to report to the affiliate, hub location or other Sutter Health facility as requested to meet operational needs.

Requirements

• HS Diploma or GED
• Medical terminology, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge.
• Competency in using MS Office Excel and Word, other Managed Care programs.
• Ability to identify, understand and solve problems related to claims and referrals.
• Communication skills, including understanding of medical concepts, ability to organize thoughts, and communicate issues concisely and effectively.
• Proven ability to quickly adjust to changing projects and priorities and to multi-task.
• Organizational skills.

Responsibilities

• Processes referral requests for patients to achieve timely and accurate determinations.
• Works within scope of practice to complete or forward requests as appropriate to Managed Care physicians and/or nurses as per the Utilization Management (UM) protocols.
• Maintains required turnaround times for referral completion.
• Assists providers and patients with referral status questions.
• Participates in development and implementation of improvements to the referral process and workflows.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED