Authorization Coordinator I

Sentara Health Plans; Virginia Beach (VA); Hybrid; USD 42,000 - 65,000; Full time

Benefits offered by this job

Medical benefits

Paid time off

401k match

Tuition assistance

Job summary

Sentara Health Plans is seeking an Authorization Coordinator I in Virginia Beach. The role focuses on securing prior authorizations for patient services and coordinating with hospital departments, providers, and patients to streamline the workflow.

The ideal candidate has a high school diploma or equivalent and at least one year of related experience, with familiarity in pre-authorizations, payer portals, and insurance processes.

Qualifications

• High school diploma or equivalent required.
• One year of related experience required.
• Experience with pre-authorizations, payer portals, and insurance processes.

Responsibilities

• Secure prior authorizations for patient services and ensure payer compliance.
• Collaborate with hospital departments, practice staff, providers, and patients to facilitate authorization workflows.

Skills

Pre-authorizations

Payer portals

Insurance experience

Education

High school diploma or equivalent

Tools

Automation tools

Job description

## Authorization Coordinator IApplyremote type: Hybridlocations: Virginia Beach, VAtime type: Full timeposted on: Posted Todayjob requisition id: JR-103546**City/State**Virginia Beach, VA**Work Shift**First (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)Education* High school graduate or equivalent Required)Certification/Licensure* No specific certification or licensure requirementsExperience* 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. 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.### About UsSentara 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!