Authorization Coordinator I

Sentara Health; Virginia Beach (VA); Hybrid; USD 40,000 - 56,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k/Employer Match

Tuition Assistance

Job summary

Sentara Health in Virginia Beach, VA seeks an Authorization Coordinator I to secure prior authorizations for patient services. The role collaborates with hospital departments, staff, providers, and patients to streamline authorizations, retro-authorizations, and peer-to-peer processes using payer portals and automation tools.

The position requires a high school diploma and at least 1 year of related experience, with weekend and holiday rotations and a hybrid work schedule.

Qualifications

• High school diploma or equivalent required.
• At least 1 year of related experience in prior authorizations.
• Experience with payer portals and insurance processes.
• Knowledge of payer rules and policies.

Responsibilities

• Obtain prior authorizations for patient services.
• Collaborate with hospital departments, staff, providers and patients.
• Maintain up-to-date knowledge of insurance plans and benefits.

Skills

Payer portals experience

Insurance verification

Communication

Attention to detail

Education

High school diploma or equivalent

Tools

EPIC

Payer portals platforms

Job description

City/State

Virginia Beach, VA

Work Shift

First (Days)

Overview:

Authorization Coordinator I

The 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

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


• Reimbursement for certifications and free access to complete CEUs and professional development


• Pet Insurance


• Legal Resources Plan


• Colleagues may 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. 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.