Authorization Coordinator

MemorialCare•Long Beach, CA

1d•Onsite

About The Position

The Authorization Coordinator is responsible for obtaining authorization for all applicable orders utilizing the five (5) Simply Better steps with every patient and team member interaction. MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Requirements

One year minimum in working in the health care field
Proficient computer skills (MS Word and Outlook)
High School diploma or general education degree (GED)

Nice To Haves

Medical Assistant experience preferred
Knowledge of medical terminology, HCPCS, ICD-10 and CPT coding preferred
Bilingual English/Spanish preferred but not required

Responsibilities

Review authorization queue for applicable orders
Verify and comply with payer contractual authorization requirements
Submit authorization request timely and efficiently, ensuring proper documentation is included for review
Utilize website portal, and electronic options to submit authorization requests
Work with PBS Teams to resolve auth related issues.
Maintain and follow up on authorization time lines specific to patient care and reimbursement.
Utilize EPIC workflows and report out on workflow changes as well as payer authorization updates.
Work with management to identify payer trends or potential issues
Demonstrate exceptional customer service skills in the performance of work assignments and duties
Other duties as assigned