Authorization Coordinator - Full Time, Day Shift

Adventist Health • Los Angeles, CA

4d • $25 - $30

About The Position

The Authorization Coordinator manages prior authorizations for activities requiring referrals for procedures and serves as a key coordinator and liaison, with a primary role in expediting the collection process. The position reconciles scheduled procedures, obtains and documents authorizations, verifies insurance, and coordinates with providers, staff, and insurance companies. It also maintains accurate authorization information and corrects coding or other information that prevents authorization or billing.

Requirements

• Hospital Fire and Life Safety (HLFS) certification is required.
• High school education, GED, or equivalent is preferred.
• An associate’s or technical degree, or an equivalent combination of education and related experience, is preferred.
• Associates must receive required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply.

Nice To Haves

• High school education, GED, or equivalent.
• Associate’s or technical degree, or an equivalent combination of education and related experience.

Responsibilities

• Reconcile scheduled procedures daily and document authorization numbers obtained by others.
• Obtain authorizations and retroactive authorizations as needed, and coordinate scheduled and pre-authorized procedures.
• Perform insurance verification before office-visit procedures.
• Provide providers and staff with guidance and advice regarding billing related to necessary procedures.
• Reconcile and update authorization numbers, generate a work list of authorizations needed, and serve as an authoritative source for authorization information.
• Communicate with insurance providers about patients’ medical necessity and obtain needed authorizations.
• Reconcile authorization information with the authorization database and/or hospital systems.
• Correct inaccurate information and CPT and ICD9 codes that prevent pre-authorization or entry of charges into the billing system.
• Perform other job-related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED