Authorization Coordinator II
Required skills
- HS Diploma or GED
- Medical terminology
- CPT
- HCPCS
- ICD-9
- anatomy
- Microsoft Office
- Excel
- Word
- Independent judgment
Nice to have
- patient eligibility verification
- coordinate benefits
- insurance coverage
- prior authorization
- electronic medical record
Role summary
Sutter Health is seeking an Authorization Coordinator II for their System Office in the Valley. This full-time, limited-term position is responsible for verifying patient eligibility, coordinating benefits, ensuring insurance coverage, and obtaining prior authorizations for orders. The role involves documenting authorizations in the electronic medical record and responding to patient inquiries within established standards. Candidates should have a HS Diploma or GED, 1 year of relevant experience, knowledge of medical terminology and coding (CPT/HCPCS/ICD-9), proficiency in Microsoft Office, and strong organizational, interpersonal, and independent judgment skills.
We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Sutter Health System Office-ValleyPosition 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:
EDUCATION:
- HS Diploma or GED
TYPICAL EXPERIENCE:
- 1 year recent relevant experience.
SKILLS AND KNOWLEDGE:
- 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.
Job Shift:
DaysSchedule:
Full TimeShift Hours:
8Days of the Week:
Monday - FridayWeekend Requirements:
NoneBenefits:
YesUnions:
NoPosition Status:
Non-ExemptWeekly Hours:
40Employee Status:
Limited Term (Fixed Term)Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $28.75 to $40.24 / hourThe posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
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