Authorization Coordinator

Sentara; Virginia Beach (VA); Hybrid; USD 30,000 - 44,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401(k) with employer match

Paid time off

Educational assistance

Job summary

Sentara Independence in Virginia Beach is seeking an Authorization Coordinator I to secure prior authorizations for patient services and coordinate with departments, providers and patients.

The role emphasizes payer rules compliance and efficient workflows, including retro-authorizations and peer-to-peer discussions.

Qualifications

• High school graduate required.
• 1 year of related experience required.
• Experience with pre-authorizations, payer portals and insurance processes.

Responsibilities

• Secure prior authorizations for patient services in collaboration with hospital departments and clinicians.
• Facilitate retro-authorizations and peer-to-peer processes via payer portals and automation tools.
• Stay up-to-date on insurance plans and regulations to streamline the authorization workflow.

Skills

Payer portals experience

Insurance experience

Authorization coordination

Education

High school diploma or equivalent

Tools

Payer portals

Job description

City/StateVirginia Beach, VAWork ShiftFirst (Days)Overview:Authorization CoordinatorThe 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 ScheduleRequired Weekend Rotation ( Sat and Sunday shift every 6 weeks)Required Holiday Rotation (1 holiday per year)EducationHigh school graduate or equivalent Required)Certification/LicensureNo specific certification or licensure requirementsExperienceOne year of related experience (Required)Pre Authorizations, Payer portals, insurance experienceWe 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.