Prior Authorization & Eligibility Coordinator

Sutter Health; Emeryville (CA); On-site; USD 45,000 - 63,000; Full time

Benefits offered by this job

Benefits package

Job summary

Sutter Health in Emeryville, CA is seeking an Eligibility and Authorization Coordinator to verify patient eligibility, coordinate benefits, and determine if prior authorization is required for orders. You will obtain authorizations and document them in the patient’s electronic medical record, and respond to inquiries within standard turnaround times.

The ideal candidate has a HS Diploma or GED and about 1 year of relevant experience, with strong medical terminology knowledge and proficiency in

Qualifications

• HS Diploma or GED is required.
• 1 year of recent relevant experience.
• Strong medical terminology and coding knowledge.

Responsibilities

• Verify patient eligibility and coordinate benefits.
• Determine if prior authorization is needed and obtain it.
• Document authorizations in the patient’s electronic medical record and respond to inquiries within turnaround standards.

Skills

Medical terminology

CPT/HCPCS/ICD-9 coding

Microsoft Office

Interpersonal skills

Active listening

Organizational skills

Education

HS Diploma or GED

Job description

Sutter Health in Emeryville, CA is seeking an Eligibility and Authorization Coordinator to verify patient eligibility, coordinate benefits, and determine if prior authorization is required for orders. You will obtain authorizations and document them in the patient’s electronic medical record, and respond to inquiries within standard turnaround times.

The ideal candidate has a HS Diploma or GED and about 1 year of relevant experience, with strong medical terminology knowledge and proficiency in