Authorization Coordinator I

Sentara Hospitals•Virginia Beach, VA

3d•Hybrid

About The Position

The Authorization Coordinator I is responsible for securing prior authorizations for patient services while ensuring compliance with payer rules and policies. This role involves collaborating with hospital departments, medical practice staff, providers and patients to facilitate the authorization, retro-authorization, and peer-to-peer process utilizing payer portals and automation tools effectively. The Authorization Coordinator I maintains up-to-date knowledge of insurance plans and regulations and is adept in identifying patient insurance and benefits to streamline the authorization workflow.

Requirements

High school graduate or equivalent
One year of related experience
Pre Authorizations experience
Payer portals experience
Insurance experience

Responsibilities

Securing prior authorizations for patient services
Ensuring compliance with payer rules and policies
Collaborating with hospital departments, medical practice staff, providers and patients to facilitate the authorization, retro-authorization, and peer-to-peer process
Utilizing payer portals and automation tools effectively
Maintaining up-to-date knowledge of insurance plans and regulations
Identifying patient insurance and benefits to streamline the authorization workflow

Benefits

Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Annual discretionary bonus