Authorization Coordinator II
Required skills
- HS Diploma
- GED
- Medical Terminology
- CPT
- HCPCS
- ICD-9
- Medical Anatomy
- Microsoft Office
- Excel
- Word
Role summary
Sutter Health is seeking an Authorization Coordinator II to join their System Office in the Bay Area. This role is responsible for verifying patient eligibility, coordinating benefits, ensuring insurance coverage, and obtaining prior authorization for orders. The coordinator will document authorizations in the patient's electronic medical record and respond to patient inquiries within established standards. The position offers a remote work opportunity for candidates residing within the Northern California Sutter Health footprint, with occasional on-site requirements. A High School Diploma or GED and 1 year of relevant experience are required, along with knowledge of medical terminology, coding, and Microsoft Office programs.
We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Sutter Health System Office-BayPosition 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.*This role has the opportunity to work at home. The person selected must live in the Northern California Sutter Health footprint and be available to come on site occasionally as needed.*
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:
As NeededBenefits:
YesUnions:
NoPosition Status:
Non-ExemptWeekly Hours:
40Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $33.06 to $46.28 / hourThe compensation range may vary based on the geographic location where the position is filled. Total compensation considers 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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