Authorization Coordinator

Sentara Health; United States; Hybrid; USD 30,000 - 44,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

401(k) matching

Paid time off

Parental leave

Student loan repayment

Education assistance

Job summary

Sentara Health is seeking an Authorization Coordinator I in Virginia Beach, VA to secure prior authorizations for patient services and ensure compliance with payer rules. The role collaborates with hospital departments, medical practices, providers and patients to facilitate authorizations, retro-authorizations, and peer-to-peer discussions using payer portals and automation tools.

The position requires a high school diploma, at least one year of related experience with pre-authorizations and

Qualifications

• One year of related experience is required.
• Experience with pre-authorizations and payer portals.
• Knowledge of insurance plans and regulations is required or beneficial.

Responsibilities

• Secure prior authorizations for patient services.
• Collaborate with hospital departments, medical practice staff, providers and patients to facilitate authorizations, retro-authorizations, and peer-to-peer processes.
• Utilize payer portals and automation tools to streamline the authorization workflow.

Skills

Pre Authorizations

Payer portals

Insurance experience

Education

High school diploma or equivalent

Job description

City/State Virginia Beach, VA

Work Shift First (Days)

Authorization Coordinator I is responsible for securing prior authorizations for patient services while ensuring compliance with payer rules and policies.

This role involves collaborating with hospital departments, medical practice staff, providers and patients to facilitate the authorization, retro-authorization, and peer-to-peer process utilizing payer portals and automation tools effectively.

The Authorization Coordinator I maintains up-to-date knowledge of insurance plans and regulations and is adept in identifying patient insurance and benefits to streamline the authorization workflow.

Hybrid Work Schedule Required Weekend Rotation ( Sat and Sunday shift every 6 weeks) Required Holiday Rotation (1 holiday per year)

Education High school graduate or equivalent Required

Certification/Licensure No specific certification or licensure requirements

Experience One year of related experience (Required) Pre Authorizations, Payer portals, insurance experience

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay range for full-time employment is $21.88 - $31.68 hourly. Additional compensation may be available for this role, such as shift differentials, on-call pay, overtime, shift premiums, extra-shift incentives, or bonus opportunities. Compensation within the range may vary based on qualifications, experience, location, market conditions, and business needs.

Sentara offers a comprehensive benefits package, including medical, dental, vision, life and disability insurance; 401(k)/403(b) with employer match; paid time off (vacation, sick time, and holidays); paid parental and military leave; educational assistance or student loan repayment; and voluntary benefits.

Benefits: Caring For Your Family and Your Career

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Pet Insurance
• Legal Resources Plan

Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Sentara Independence provides quality outpatient services to the surrounding community. The facility includes an ambulance-accessible emergency room that is supported by board-certified physicians.

Sentara Independence houses state-of-the-art medical equipment and highly-skilled physicians and staff.

Sentara Independence is now an extension of the quality services at Sentara Virginia Beach General Hospital including advanced imaging and physical therapy.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce.

Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years.

Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan.

The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years.

U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years.

Sentara offers professional development and a continued employment philosophy!