Coordinator, Medical Staff - Full Time

Sutter Health; Sacramento (CA); Remote; USD 40.000 - 55.000; Vollzeit

Benefits dieser Stelle

Benefits

Zusammenfassung

Sutter Health is seeking a remote-based Eligibility Specialist to verify patient eligibility, coordinate benefits, and determine if prior authorizations are needed within the Northern California footprint. The role involves documenting approvals in the EMR and responding to patient inquiries within turnaround standards.

Requires a HS diploma or GED and about 1 year of relevant experience, with proficiency in medical terminology and CPT/HCPCS/ICD-9 coding, plus Microsoft Office proficiency.

Qualifikationen

• HS Diploma or GED required.
• 1 year of recent relevant experience.
• Knowledge of CPT/HCPCS/ICD-9 coding and medical terminology.

Aufgaben

• Verify patient eligibility and coordinate benefits.
• Ensure insurance coverage and determine need for prior authorization.
• Obtain authorization when needed and document in EMR.

Kenntnisse

Medical terminology

CPT/HCPCS/ICD-9 knowledge

Discretion and independent judgment

Microsoft Office (Excel/Word)

Active listening

Interpersonal skills

Organizational skills

Ausbildung

HS Diploma or GED

Tools

Microsoft Excel

Microsoft Word

Microsoft Office

Jobbeschreibung

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.

Schedule and Hours

Job Shift:Days

Schedule:Full Time

Shift Hours:8

Days of the Week:Monday - Friday

Weekend Requirements:None

Weekly Hours:40

Employee Status:Regular

Benefits & Status

Benefits:Yes

Unions:No

Position Status:Non-Exempt

Equal Opportunity & Pay Information

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

Pay Range is $28.75 to $40.24 / hourThe 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.