Behavioral Health Authorization Coordinator II, Temporary

Sutter Health • Santa Cruz, CA

2d • $32 - $40 • Hybrid

About The Position

We are so glad you are interested in joining Sutter Health! Organization: PAMF-Palo Alto Medical Foundation SCD Position Overview: Responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards. Job Description: Please note: Work schedules and onsite requirements may be subject to change based on operational needs. Work Schedule Monday – Thursday: 8:30 a.m. – 5:30 p.m. Friday: 8:00 a.m. – 5:00 p.m. Hybrid Work Details: This position follows a hybrid schedule. The employee will work remotely on Mondays and Tuesdays and onsite at 2200 Soquel Avenue on Wednesdays, Thursdays, and Fridays. While training, employee may be asked to work onsite M-F.

Requirements

• HS Diploma or GED
• 1 year recent relevant experience
• Medical terminology, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge
• Knowledge of medical terminology/anatomy
• Ability to exercise discretion and make independent judgments, seeking review when decisions represent significant departure from established guidelines
• Knowledge of Microsoft Office programs including Excel, Word or similar programs
• Ability to maintain composure during challenging interpersonal interactions
• Active listening skills; including interpersonal skills and telephone communication
• Organizational skills with attention to detail and follow-up

Nice To Haves

• BILINGUAL SKILLS ARE HIGHLY PREFERRED FOR THIS POSITION

Responsibilities

• Responsible for performing the appropriate processes to verify patient eligibility
• Coordinate benefits
• Ensure insurance coverage
• Determine if prior authorization is needed for said order
• Obtain authorization and documents in the patient electronic medical record
• Facilitate responses to patient inquiries regarding authorizations within turnaround standards

What This Job Offers

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