Authorization Coordinator II at Sutter Health performing eligibility verification, benefits coordination, and prior authorization management. Hybrid role supporting patient financial services and EMR documentation.
Responsibilities
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.
Works within Patient Financial Services to support authorization workflows.
Job Shift: Days; Schedule: Full Time; Shift Hours: 8; Days of the Week: Monday - Friday; Weekend Requirements: As Needed.
This is a Limited Term position - 26 weeks.
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.
Benefits
Benefits: Yes
Eligible roles also qualify for a comprehensive benefits package.
This is a hybrid position (most days working remote and occasionally onsite).
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