Authorization Coordinator II

Sutter Health • Goleta, CA

16d • $27 - $37

About The Position

Responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards.

Requirements

• HS Diploma or GED
• 1 year recent relevant experience
• Medical terminology
• Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge
• Knowledge of medical terminology/anatomy
• Ability to exercise discretion and make independent judgments, seeking review when decisions represent significant departure from established guidelines
• Knowledge of Microsoft Office programs including Excel, Word or similar programs
• Ability to maintain composure during challenging interpersonal interactions
• Active listening skills; including interpersonal skills and telephone communication
• Organizational skills with attention to detail and follow-up

Responsibilities

• Verify patient eligibility
• Coordinate benefits
• Ensure insurance coverage
• Determine if prior authorization is needed
• Obtain authorization
• Document in the patient electronic medical record
• Facilitate responses to patient inquiries regarding authorizations within turnaround standards

Benefits

• Sutter Health values and supports the unique talents and strengths that each employee brings to our organization.
• Eligible positions also include a comprehensive benefits package.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED