Coordinator, Medical Staff - Full Time

Sutter Health; California City (CA); À distance; USD 40 000 - 55 000; Plein temps

Avantages offerts par ce poste

Benefits package

Résumé du poste

Sutter Health is hiring for a position that can be performed from home within the Northern California footprint. The role handles eligibility verification, benefits coordination, and authorization determination, with documentation in the EMR and responsive patient inquiries within set turnaround standards.

Requirements include HS diploma or GED and about 1 year of relevant experience, plus knowledge of CPT/HCPCS/ICD-9 coding and medical terminology.

Qualifications

• HS Diploma or GED required.
• 1 year of recent relevant experience.
• Knowledge of medical terminology, CPT/HCPCS/ICD-9 coding.
• Knowledge of medical terminology/anatomy.
• Ability to exercise discretion and make independent judgments.
• Proficiency with Microsoft Office programs including Excel and Word.
• Strong interpersonal, listening, and communication skills.
• Excellent organizational skills with attention to detail and follow-up.

Responsabilités

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

Connaissances

Medical terminology

CPT/HCPCS/ICD-9 coding

Anatomy knowledge

Discretion

Microsoft Office

Active listening

Organizational skills

Formation

HS Diploma or GED

Description du poste

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

Organization:

SHSO-Sutter Health System Office-Valley

Position Overview:

*This position is available to work from home from within the Sutter Health Northern California footprint. 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 :

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

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

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.