Authorization Coordinator I

Sentara; Virginia Beach (VA); Hybrid; USD 36,000 - 54,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

Paid Time Off and Sick Leave

401k/403B with Employer Match

Tuition Assistance – $5,250/year

Student Debt Pay Down – $10,000

Pet Insurance

Job summary

Sentara Independence in Virginia Beach is seeking an Authorization Coordinator I to secure prior authorizations for patient services, while ensuring payer compliance. The role collaborates with hospital departments, staff, providers, and patients to facilitate authorizations, retro-authorizations, and peer-to-peer reviews using payer portals and automation tools.

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

Qualifications

• High school diploma or equivalent required.
• At least 1 year of related experience in pre-authorizations or payer portals.
• Knowledge of payer rules and regulations for authorizations.

Responsibilities

• Secure prior authorizations for patient services in a timely manner.
• Collaborate with hospital departments, medical practice staff, providers and patients to facilitate authorizations, retro-authorizations and peer-to-peer reviews.
• Maintain up-to-date knowledge of insurance plans and regulations to streamline the workflow.

Skills

Payer portals

Insurance experience

Authorization coordination

Education

High school graduate or equivalent

Job description

City/StateVirginia Beach, VAWork ShiftFirst (Days)Overview:Authorization Coordinator IThe 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 experience.Benefits: Caring For Your Family and Your CareerMedical, Dental, Vision plansAdoption, Fertility and Surrogacy Reimbursement up to $10,000Paid Time Off and Sick LeavePaid Parental & Family Caregiver LeaveEmergency Backup CareLong-Term, Short-Term Disability, and Critical Illness plansLife Insurance401k/403B with Employer MatchTuition Assistance – $5,250/year and discounted educational opportunities through Guild EducationStudent Debt Pay Down – $10,000Reimbursement for certifications and free access to complete CEUs and professional developmentPet InsuranceLegal Resources PlanColleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is metSentara 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.