Medical Authorization Coordinator

Sacramento-Ear,-Nose-; Sacramento (CA); On-site; USD 42,000 - 54,000; Full time

Job summary

Sacramento Ear, Nose & Throat (SacENT) seeks an Authorization Specialist to manage patient authorization for medical tests and procedures. The role ensures timely and accurate processing to support physicians in delivering high-quality care.

Responsibilities include verifying authorizations for new visits, surgeries, sleep studies, and durable medical equipment; coordinating outside referrals; guiding patients with insurance requirements; and handling retroactive authorizations as needed.

Qualifications

• High school diploma or GED required.
• Minimum 2 years of authorization experience in medical/hospital setting.
• EPIC EHR experience preferred.

Responsibilities

• Obtains and verifies authorization for new and return patient visits.
• Obtains and verifies authorizations for surgical procedures.
• Requests authorization for Sleep Studies and durable medical equipment.
• Handles Outside Referrals to other facilities.
• Refer patients back to PCP's office when insurance dictates.
• Obtains retroactive authorization when needed.
• Other duties as assigned.

Skills

Interpersonal skills

Critical thinking

Prioritization

Organization

Education

High School diploma or GED

Tools

EPIC EHR

Job description

Sacramento Ear, Nose & Throat (SacENT) seeks an Authorization Specialist to manage patient authorization for medical tests and procedures. The role ensures timely and accurate processing to support physicians in delivering high-quality care.

Responsibilities include verifying authorizations for new visits, surgeries, sleep studies, and durable medical equipment; coordinating outside referrals; guiding patients with insurance requirements; and handling retroactive authorizations as needed.