Authorization Coordinator II - Patient Access & Benefits

Sutter Health; Sacramento (CA); On-site; USD 40,000 - 55,000; Full time

Job summary

Sutter Health is seeking an Eligibility and Authorization Specialist to verify patient eligibility, coordinate benefits, and determine prior authorization needs. The role requires documenting authorizations in the EMR and responding to patient inquiries within set turnaround standards.

Ideal candidates have a HS Diploma or GED and at least 1 year of related experience, with strong medical terminology knowledge and proficiency in Microsoft Office.

Qualifications

• HS Diploma or GED required.
• 1 year of recent relevant experience required.
• Knowledge of medical terminology and coding systems preferred.

Responsibilities

• Verify patient eligibility and coordinate benefits.
• Determine if prior authorization is needed and obtain it.
• Ensure insurance coverage is verified and documented in the EMR.
• Respond to patient inquiries regarding authorizations within turnaround standards.

Skills

Medical terminology

CPT/HCPCS/ICD-9 coding

Anatomy knowledge

Discretion/judgment

MS Office

Active listening

Interpersonal communication

Organizational skills

Education

HS Diploma or GED

Tools

Microsoft Excel

Microsoft Word

Job description

Sutter Health is seeking an Eligibility and Authorization Specialist to verify patient eligibility, coordinate benefits, and determine prior authorization needs. The role requires documenting authorizations in the EMR and responding to patient inquiries within set turnaround standards.

Ideal candidates have a HS Diploma or GED and at least 1 year of related experience, with strong medical terminology knowledge and proficiency in Microsoft Office.