Authorization Coordinator II

Suffer Health; United States; Remote; USD 40,000 - 55,000; Full time

Benefits offered by this job

Benefits package

Job summary

Sutter Health is seeking a qualified Eligibility & Benefits Coordinator to verify patient eligibility, coordinate benefits, and determine if prior authorization is needed for orders.

Responsibilities include obtaining authorizations when required, documenting in the EMR, and addressing patient inquiries within established turnaround times. Requires strong medical terminology knowledge and office skills.

Qualifications

• 1 year of recent relevant experience.
• HS Diploma or GED required.

Responsibilities

• Educate patients about health insurance.
• Verify patient eligibility and coordinate benefits.
• Determine if prior authorization is needed for orders and obtain authorization when required.
• Document approvals in the patient EMR and respond to patient inquiries within turnaround standards.

Skills

Medical terminology CPT/HCPCS/ICD-9

Medical terminology/anatomy

Discretion and independent judgments

Microsoft Office (Excel/Word)

Active listening and interpersonal/电话沟

Organizational skills and follow-up

Education

HS Diploma or GED

Tools

Microsoft Office

Job description

Organization

SHSO-Sutter Health System Office-Valley

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.

Job Description

Educate patients about health insurance.

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

None

Benefits

Yes

Unions

No

Position Status

Non-Exempt

Weekly Hours

40

Employee Status

Regular

Equal Opportunity Statement

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

Pay Range

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