Authorization Coordinator II

Sentara; Charlottesville (VA); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a dedicated Authorization Coordinator II to join their remote team. This role is pivotal in ensuring that clinical information aligns with payer protocols and service authorizations. You will analyze clinical details, validate insurance accuracy, and coordinate with various healthcare providers. The company offers a comprehensive benefits package, including medical, dental, and vision plans, along with generous educational assistance and a supportive work environment that values diversity and inclusion. If you have a passion for healthcare and a keen eye for detail, this opportunity is perfect for you.

Benefits

Medical, Dental, Vision plans

Adoption, Fertility and Surrogacy Reimbursement

Paid Time Off and Sick Leave

Paid Parental & Family Caregiver Leave

Emergency Backup Care

Long-Term, Short-Term Disability

401k/403B with Employer Match

Tuition Assistance

Pet Insurance

Opportunity for annual discretionary bonus

Qualifications

• Experience in insurance verification, authorization, and registration/billing is required.
• Knowledge of medical terminology and ICD-10 is essential.

Responsibilities

• Review clinical information for service authorization.
• Analyze clinical details to ensure alignment with protocols.
• Obtain insurance eligibility and complete pre-registration.

Skills

Insurance Verification

Insurance Authorization

Registration/Billing

Medical terminology

ICD-10 knowledge

Education

High School Diploma or Equivalent

Job description

City/State

Charlottesville, VA

Work Shift

First (Days)

Overview:

Sentara is hiring a remote Authorization Coordinator II.

This role involves reviewing clinical information from physicians, departments, and other providers to ensure data sufficiency for service authorization. It requires analyzing clinical details to confirm services align with clinical and payer protocols. The coordinator must obtain insurance eligibility, member benefits, authorizations, and complete pre-registration, validating insurance accuracy before service authorization.

Education

• High School Diploma or Equivalent (Required)

Certification/Licensure

• No specific certification or licensure requirements

Experience

• Insurance Verification experience (Required)
• Insurance Authorization experience (Required)
• Registration/Billing experience (Required)
• Medical terminology and ICD-10 knowledge (Required)

Talroo - Allied Health, insurance, verification, authorization, registration, billing

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 CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Opportunity for annual discretionary bonus based on system and employee criteria

About Sentara Martha Jefferson Hospital: Located in Charlottesville, VA, this Magnet-status, 176-bed facility offers private rooms and has evolved over 100 years to meet diverse healthcare needs. Our vision is to set standards in clinical quality and personalized services, with specialties including Cancer Care, Heart and Vascular, Neurology, Neurosurgery, Orthopedics, and Maternity.

Sentara Health is an equal opportunity employer and values diversity, inclusion, and belonging, reflecting the communities we serve. Our organization is committed to a tobacco-free environment.

Remote Work Eligibility: Sentara employs associates in 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.