Authorization Coordinator II
Required skills
- patient eligibility
- coordinate benefits
- insurance coverage
- prior authorization
- electronic medical record
- Medical Terminology
- CPT
- HCPCS
- ICD-9
- Microsoft Office
Nice to have
- anatomy
Role summary
Sutter Health is seeking an Authorization Coordinator II to perform processes for verifying patient eligibility, coordinating benefits, ensuring insurance coverage, and obtaining prior authorization when needed. The role involves documenting authorizations in the patient's electronic medical record and responding to patient inquiries within established turnaround standards. This is a full-time, non-exempt, regular position requiring 1 year of recent relevant experience and a HS Diploma or GED. Key skills include medical terminology, medical coding knowledge (CPT/HCPCS/ICD-9), proficiency in Microsoft Office, strong interpersonal and organizational skills, and attention to detail.
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.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:
Friday, Monday, Thursday, Tuesday, WednesdayWeekend Requirements:
NoneBenefits:
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 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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