Authorization Coordinator

MemorialCare; Long Beach (CA); On-site; USD 32,000 - 43,000; Full time

Job summary

MemorialCare in Long Beach, CA, seeks an Authorization Coordinator for the Cardiac Surgery - GRP team. This on-site role focuses on obtaining authorizations for orders, timely submissions, and accurate documentation to support patient care and reimbursement.

The candidate should have at least one year in health care, be proficient in MS Word and Outlook, and ideally have Medical Assistant experience. Bilingual English/Spanish is a plus, with a commitment to quality patient service.

Qualifications

• Must have at least one year of experience in the health care field.
• Proficient in MS Word and Outlook.
• Medical Assistant experience is preferred.
• Knowledge of medical terminology, HCPCS, ICD-10 and CPT coding is preferred.
• Bilingual English/Spanish is preferred but not required.

Responsibilities

• Review authorization queue for applicable orders.
• Verify and comply with payer contractual authorization requirements.
• Submit authorization requests timely with proper documentation for review.
• Utilize website portal and electronic options to submit authorization requests.
• Work with PBS Teams to resolve authorization-related issues.
• Maintain and follow up on authorization timelines related to patient care and reimbursement.
• Utilize EPIC workflows and report on workflow changes and payer authorization updates.
• Collaborate with management to identify payer trends or issues.
• Provide exceptional customer service in all duties.
• Other duties as assigned.

Skills

MS Word

Outlook

Bilingual (English/Spanish)

Customer service

Education

High School diploma or GED

Tools

EPIC

Job description

Title: Authorization Coordinator

Location: Long Beach / On-Site

Department: Cardiac Surgery - GRP

Status: Full Time

Shift: Day

Pay Range*: $23.00/hr - $31.57/hr

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability.Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Position Summary

The Authorization Coordinator is responsible for obtaining authorization for all applicable orders utilizing the five (5) Simply Better steps with every patient and team member interaction.

Essential Functions and Responsibilities of the Job

• Review authorization queue for applicable orders

• Verify and comply with payer contractual authorization requirements

• Submit authorization request timely and efficiently, ensuring proper documentation is included for review

• Utilize website portal, and electronic options to submit authorization requests

• Work with PBS Teams to resolve auth related issues.

• Maintain and follow up on authorization time lines specific to patient care and reimbursement.

• Utilize EPIC workflows and report out on workflow changes as well as payer authorization updates.

• Work with management to identify payer trends or potential issues

• Demonstrate exceptional customer service skills in the performance of work assignments and duties

• Other duties as assigned

*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more... Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

Minimum Requirements

Qualifications/Work Experience:

• Must have one year minimum in working in the health care field

• Proficient computer skills (MS Word and Outlook)

• Medical Assistant experience preferred

• Knowledge of medical terminology, HCPCS, ICD-10 and CPT coding preferred

• Bilingual English/Spanish preferred but not required

Education/Licensure/Certification:

• High School diploma or general education degree (GED)