Authorization Coordinator II
Sutter Health•Sacramento, CA
•Remote
About The Position
This position is available to work from home from within the Sutter Health Northern California footprint. The Authorization Coordinator II verifies patient eligibility, coordinates benefits, confirms insurance coverage, and determines whether prior authorization is needed for an order. When authorization is required, the coordinator obtains it and documents it in the patient electronic medical record. The position also facilitates responses to patient inquiries about authorizations within established 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.
- Facilitate responses to patient inquiries regarding authorizations within turnaround standards.
Benefits
- Comprehensive benefits package for eligible positions.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
