Healthcare Authorization Coordinator (Hybrid)

PriMed Management Consulting Services, Inc.; Swanston (CA); Hybrid; USD 55,000 - 60,000; Full time

Job summary

Hill Physicians Medical Group in Sacramento, CA is seeking a Health Care Authorization Specialist to coordinate the authorization process and support the HRM department. This hybrid role requires accuracy in data entry and knowledge of medical terminology, CPT/ICD10 codes, and Epic systems.

You will handle phone inquiries, monitor CSR activity, and collaborate with multiple departments to ensure timely decisions and excellent member service.

Qualifications

• Medical Assistant certification or 1–3 years healthcare experience preferred.
• Strong knowledge of CPT/ICD10 & HCPCS codes.
• Accurate data entry and Microsoft Office skills (intermediate).
• Strong verbal communication, decision-making and problem solving skills.

Responsibilities

• Coordinate the authorization process per HRM procedures and policy.
• Enter authorization data into Epic database using correct types and codes.
• Answer phone queue line calls per departmental standards.
• Monitor CSR activity and respond within department standards.
• Serve as a resource for customer service.

Skills

Medical terminology

Strong communication

Attention to detail

Multi-tasking

Independent & team

Education

H.S. Diploma or GED

Tools

Epic/Tapestry

MS Office

CPT/ICD10 & HCPCS

Job description

Hill Physicians Medical Group in Sacramento, CA is seeking a Health Care Authorization Specialist to coordinate the authorization process and support the HRM department. This hybrid role requires accuracy in data entry and knowledge of medical terminology, CPT/ICD10 codes, and Epic systems.

You will handle phone inquiries, monitor CSR activity, and collaborate with multiple departments to ensure timely decisions and excellent member service.