Authorization Coordinator II
About The Position
The Authorization Coordinator II is responsible for managing and securing prior authorizations for complex and high-cost medical procedures, advanced imaging, specialty services, and outpatient/inpatient care. Acting as a subject matter expert, this position ensures compliance with payer requirements, clinical guidelines, and organizational policies to support efficient patient access, minimize care delays, and optimize reimbursement. They work independently with minimal supervision, proactively identifying potential authorization barriers, resolving issues, and serving as a resource to clinical and administrative teams. This role plays a key part in supporting revenue cycle integrity, reducing denials, and ensuring patients receive timely, coordinated care. Strong follow-up and communications skills are essential to navigate the interactions between insurance companies and providers.
Requirements
- High school diploma or equivalent (Required)
- Two years of related experience, such as preregistration, patient access, authorizations, insurance verification, billing, and/or revenue cycle.
- Strong attention to detail, organizational skills, and clear communication are essential to success in this role.
Responsibilities
- Obtain and Verify Authorizations: Request and secure prior authorizations for procedures, diagnostic testing, hospital admissions, and specialty services according to payer requirements.
- Insurance Verification: Confirm patient insurance eligibility, benefits, and coverage details to ensure services are authorized appropriately.
- Documentation: Accurately record authorization numbers, payer requirements, and status updates in the electronic health record (EHR) or billing system.
- Communication: Serve as a liaison between providers, patients, and insurance companies to clarify requirements and resolve authorization issues.
- Follow-Up: Track pending authorizations, monitor turnaround times, and escalate delays to prevent service denials or scheduling disruptions.
- Denial Prevention and Revenue Cycle Support: Review payer policies and authorization guidelines to reduce authorization-related claim denials. Partner with revenue integrity teams to resolve authorization-related denials.
- Collaboration: Work closely with clinical staff, schedulers, and billing teams to ensure all necessary approvals are obtained prior to service delivery.
- Confidentiality & Compliance: Adhere to HIPAA and organizational policies while handling sensitive patient and insurance information.
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 if established system and employee eligibility criteria is met.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
