Authorization Coordinator II
Sutter Health•Sacramento, CA
•$29 - $46
About The Position
The Authorization Coordinator II is responsible for verifying patient eligibility, coordinating benefits, ensuring insurance coverage, and determining whether prior authorization is needed for an order. When authorization is required, the coordinator obtains it and documents it in the patient’s electronic medical record. The role also facilitates responses to patient inquiries about authorizations within established turnaround standards.
Requirements
- High school diploma or equivalent education/experience.
- Knowledge of medical terminology and anatomy.
- Knowledge of CPT, HCPCS, and ICD-9 coding.
- Knowledge of Microsoft Office programs, including Excel and Word, or similar programs.
- Ability to exercise discretion and make independent judgments, seeking review when decisions significantly depart from established guidelines.
- Ability to maintain composure during challenging interpersonal interactions.
- Active listening, interpersonal, and telephone communication skills.
- Organizational skills, 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.
- Facilitate responses to patient inquiries about 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
Mid Level
Education Level
High school or GED
