Authorization Coordinator II

Sutter Health; Emeryville (CA); In loco; USD 45.000 - 63.000; Tempo pieno

Vantaggi offerti da questo lavoro

Benefits package

Descrizione del lavoro

Sutter Health in Emeryville, CA is seeking an Eligibility and Authorization Coordinator to verify patient eligibility, coordinate benefits, and determine if prior authorization is required for orders. You will obtain authorizations and document them in the patient’s electronic medical record, and respond to inquiries within standard turnaround times.

The ideal candidate has a HS Diploma or GED and about 1 year of relevant experience, with strong medical terminology knowledge and proficiency in

Competenze

• HS Diploma or GED is required.
• 1 year of recent relevant experience.
• Strong medical terminology and coding knowledge.

Mansioni

• Verify patient eligibility and coordinate benefits.
• Determine if prior authorization is needed and obtain it.
• Document authorizations in the patient’s electronic medical record and respond to inquiries within turnaround standards.

Conoscenze

Medical terminology

CPT/HCPCS/ICD-9 coding

Microsoft Office

Interpersonal skills

Active listening

Organizational skills

Formazione

HS Diploma or GED

Descrizione del lavoro

About Sutter Health

We are so glad you are interested in joining Sutter Health!

Organization

SHSO-Sutter Health System Office-Bay

Position Overview

Responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards.

Education

HS Diploma or GED

Typical Experience

1 year recent relevant experience.

Skills And Knowledge

• Medical terminology, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge.
• Knowledge of medical terminology/anatomy.
• Ability to exercise discretion and make independent judgments, seeking review when decisions represent significant departure from established guidelines.
• Knowledge of Microsoft Office programs including Excel, Word or similar programs.
• Ability to maintain composure during challenging interpersonal interactions.
• Active listening skills; including interpersonal skills and telephone communication.
• Organizational skills with attention to detail and follow-up.

Job Shift

Days

Schedule

Full Time

Shift Hours

8

Days Of The Week

Monday - Friday

Weekend Requirements

As Needed

Benefits

Yes

Unions

No

Position Status

Non-Exempt

Weekly Hours

40

Employee Status

Regular

Company Commitment

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range

Pay Range is $0.00 to $0.00 / hour. San Francisco Bay Area Pay Range is $33.06 to $46.28 / hour. Sacramento Valley Area Pay Range is $28.75 to $40.24 / hour.

The posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.