Authorization Coordinator II
About The Position
The Authorization Coordinator II performs processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine whether prior authorization is needed for an order. When authorization is needed, the coordinator obtains it and documents it in the patient electronic medical record. The role also facilitates responses to patient inquiries about authorizations within turnaround standards. This position may be performed from home within the Sutter Health Northern California footprint. It is a regular, full-time, non-exempt position with an eight-hour day shift, Monday through Friday, totaling 40 hours per week. No weekend work is required.
Requirements
- High school diploma or GED.
- One year of recent relevant experience.
- Medical terminology and anatomy knowledge.
- CPT, HCPCS, and ICD-9 coding knowledge.
- Ability to exercise discretion and make independent judgments, seeking review when decisions significantly depart from established guidelines.
- Knowledge of Microsoft Office programs, including Excel and Word, or similar programs.
- Ability to maintain composure during challenging interpersonal interactions.
- Active listening, interpersonal, and telephone communication skills.
- Organizational skills, attention to detail, and follow-up.
Responsibilities
- Verify patient eligibility.
- Coordinate benefits and ensure insurance coverage.
- Determine whether prior authorization is needed for an order.
- Obtain needed authorizations and document them in the patient electronic medical record.
- Facilitate responses to patient inquiries regarding authorizations within turnaround standards.
Benefits
- Eligible positions include a comprehensive benefits package.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
