Authorization Coordinator II
Sutter Health•Santa Rosa, NM
•$33 - $46
About The Position
Responsible for performing processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine 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 about authorizations within turnaround standards.
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 required authorizations and document them in the patient electronic medical record.
- Respond 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
