Remote Authorization Coordinator II

Sutter Health; Sacramento (CA); Remote; USD 40,000 - 55,000; Full time

Job summary

Sutter Health is seeking a Claims Eligibility Specialist to work from home within the Northern California footprint. You will verify patient eligibility, coordinate benefits, and determine if prior authorization is required for orders, obtaining authorizations when needed and documenting in the electronic medical record.

You will respond to patient inquiries regarding authorizations within established turnaround times, demonstrate strong medical terminology knowledge, and use Microsoft Office

Qualifications

• HS Diploma or GED required.
• 1 year recent relevant experience.
• Knowledge of CPT/HCPCS/ICD-9 coding.
• Knowledge of medical terminology/anatomy.
• Strong organizational and communication skills.

Responsibilities

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

Skills

Medical terminology

Anatomy knowledge

Discretion

Microsoft Office

Active listening

Interpersonal skills

Telephone communication

Attention to detail

Organization

Education

HS Diploma or GED

Tools

Microsoft Office

Job description

Sutter Health is seeking a Claims Eligibility Specialist to work from home within the Northern California footprint. You will verify patient eligibility, coordinate benefits, and determine if prior authorization is required for orders, obtaining authorizations when needed and documenting in the electronic medical record.

You will respond to patient inquiries regarding authorizations within established turnaround times, demonstrate strong medical terminology knowledge, and use Microsoft Office