Hybrid Prior Authorization Coordinator I

Sentara Health; Virginia Beach (VA); Hybrid; USD 40,000 - 56,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k/Employer Match

Tuition Assistance

Job summary

Sentara Health in Virginia Beach, VA seeks an Authorization Coordinator I to secure prior authorizations for patient services. The role collaborates with hospital departments, staff, providers, and patients to streamline authorizations, retro-authorizations, and peer-to-peer processes using payer portals and automation tools.

The position requires a high school diploma and at least 1 year of related experience, with weekend and holiday rotations and a hybrid work schedule.

Qualifications

• High school diploma or equivalent required.
• At least 1 year of related experience in prior authorizations.
• Experience with payer portals and insurance processes.
• Knowledge of payer rules and policies.

Responsibilities

• Obtain prior authorizations for patient services.
• Collaborate with hospital departments, staff, providers and patients.
• Maintain up-to-date knowledge of insurance plans and benefits.

Skills

Payer portals experience

Insurance verification

Communication

Attention to detail

Education

High school diploma or equivalent

Tools

EPIC

Payer portals platforms

Job description

Sentara Health in Virginia Beach, VA seeks an Authorization Coordinator I to secure prior authorizations for patient services. The role collaborates with hospital departments, staff, providers, and patients to streamline authorizations, retro-authorizations, and peer-to-peer processes using payer portals and automation tools.

The position requires a high school diploma and at least 1 year of related experience, with weekend and holiday rotations and a hybrid work schedule.