Authorization Coordinator II
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. This position is eligible to work from home within the Sutter Health Northern California footprint. It is a full-time, regular, non-exempt position with a day shift, Monday through Friday schedule, eight-hour shifts, and 40 weekly hours. Weekend work may be required as needed.
Requirements
- High school diploma or GED.
- One year of recent relevant 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 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 authorization when required and document it in the patient's electronic medical record.
- Facilitate responses to patient inquiries about authorizations within turnaround standards.
Benefits
- Comprehensive benefits package for eligible positions.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
