Sutter Health-posted about 1 year ago
$69,638 - $87,027/Yr
Part-time • Entry Level
San Francisco, CA
1,001-5,000 employees
Hospitals

The Authorization Coordinator III at Sutter Health provides essential medical administration support by obtaining referrals and prior authorizations for patients to see specialty providers. This role involves processing authorization and referral requests in coordination with health plans and contracted providers, ensuring accuracy and consistency with minimal supervision. The coordinator also supports Case Management staff and serves as a resource for providers regarding the authorization process.

  • Obtain referral or prior authorizations for patients to see specialty providers.
  • Process authorization and referral requests for members in coordination with health plans and contracted providers.
  • Complete referrals and/or authorizations accurately and consistently with minimal supervision.
  • Provide support to the Case Management staff.
  • Serve as a resource to providers regarding the authorization process.
  • High school diploma or GED required.
  • 2 years of recent relevant experience in medical administration or a similar field.
  • Knowledge of medical terminology, CPT, HCPCS, and ICD-9 coding.
  • Ability to exercise discretion and make independent judgments.
  • Proficiency in Microsoft Office programs including Excel and Word.
  • Strong organizational skills with attention to detail and follow-up.
  • Active listening skills and effective interpersonal communication.
  • Comprehensive benefits package including health insurance and other perks.
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