Authorization Coordinator II
Sutter Health•Los Altos, CA
•$29 - $46
About The Position
Responsible for verifying patient eligibility, coordinating benefits, ensuring insurance coverage, and determining whether prior authorization is needed for an order. When authorization is needed, obtains it and documents it in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards.
Requirements
- High school diploma or equivalent education/experience.
- Knowledge of medical terminology and anatomy.
- Knowledge of CPT, HCPCS, and ICD-9 coding.
- Ability to exercise discretion and make independent judgments, seeking review when decisions represent a significant departure 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 with attention to detail and follow-up.
Nice To Haves
- One year of experience within a health care setting.
Responsibilities
- Verify patient eligibility.
- Coordinate benefits and ensure insurance coverage.
- Determine whether prior authorization is needed for an order.
- Obtain required authorizations and document them in the patient electronic medical record.
- Respond to patient inquiries regarding authorizations within turnaround standards.
Benefits
- Comprehensive benefits package for eligible positions.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
