Infusion Services Authorization Coordinator I

Sentara Hospitals • Chesapeake, VA

7h

About The Position

The Authorization Coordinator I is responsible for securing prior authorizations for patient services while ensuring compliance with payer rules and policies. This role involves collaborating with hospital departments, medical practice staff, providers and patients to facilitate the authorization, retro-authorization, and peer-to-peer process utilizing payer portals and automation tools effectively. The Authorization Coordinator I maintains up-to-date knowledge of insurance plans and regulations and is adept in identifying patient insurance and benefits to streamline the authorization workflow.

Requirements

• High school graduate or equivalent (Required)
• One year of related experience (Required)
• Strong attention to detail, organizational skills, and clear communication are essential to success in this role.

Responsibilities

• Obtain and Verify Authorizations: Request and secure prior authorizations for procedures, diagnostic testing, hospital admissions, and specialty services according to payer requirements.
• Insurance Verification: Confirm patient insurance eligibility, benefits, and coverage details to ensure services are authorized appropriately.
• Documentation: Accurately record authorization numbers, payer requirements, and status updates in the electronic health record (EHR) or billing system.
• Communication: Serve as a liaison between providers, patients, and insurance companies to clarify requirements and resolve authorization issues.
• Follow-Up: Track pending authorizations, monitor turnaround times, and escalate delays to prevent service denials or scheduling disruptions.
• Denial Prevention: Review payer policies and authorization guidelines to reduce authorization-related claim denials.
• Collaboration: Work closely with clinical staff, schedulers, and billing teams to ensure all necessary approvals are obtained prior to service delivery.
• Confidentiality & Compliance: Adhere to HIPAA and organizational policies while handling sensitive patient and insurance information.

Benefits

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

What This Job Offers

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