Hybrid Authorization Coordinator I — Prior Auth & Payer

Sentara; Virginia Beach (VA); Hybrid; USD 36,000 - 54,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

Paid Time Off and Sick Leave

401k/403B with Employer Match

Tuition Assistance – $5,250/year

Student Debt Pay Down – $10,000

Pet Insurance

Job summary

Sentara Independence in Virginia Beach is seeking an Authorization Coordinator I to secure prior authorizations for patient services, while ensuring payer compliance. The role collaborates with hospital departments, staff, providers, and patients to facilitate authorizations, retro-authorizations, and peer-to-peer reviews using payer portals and automation tools.

The position requires a high school diploma and at least one year of related experience, including pre-authorizations and payer

Qualifications

• High school diploma or equivalent required.
• At least 1 year of related experience in pre-authorizations or payer portals.
• Knowledge of payer rules and regulations for authorizations.

Responsibilities

• Secure prior authorizations for patient services in a timely manner.
• Collaborate with hospital departments, medical practice staff, providers and patients to facilitate authorizations, retro-authorizations and peer-to-peer reviews.
• Maintain up-to-date knowledge of insurance plans and regulations to streamline the workflow.

Skills

Payer portals

Insurance experience

Authorization coordination

Education

High school graduate or equivalent

Job description

Sentara Independence in Virginia Beach is seeking an Authorization Coordinator I to secure prior authorizations for patient services, while ensuring payer compliance. The role collaborates with hospital departments, staff, providers, and patients to facilitate authorizations, retro-authorizations, and peer-to-peer reviews using payer portals and automation tools.

The position requires a high school diploma and at least one year of related experience, including pre-authorizations and payer