Remote Medical Staff Coordinator – Authorization

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

Benefits offered by this job

Benefits

Job summary

Sutter Health is seeking a remote-based Eligibility Specialist to verify patient eligibility, coordinate benefits, and determine if prior authorizations are needed within the Northern California footprint. The role involves documenting approvals in the EMR and responding to patient inquiries within turnaround standards.

Requires a HS diploma or GED and about 1 year of relevant experience, with proficiency in medical terminology and CPT/HCPCS/ICD-9 coding, plus Microsoft Office proficiency.

Qualifications

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

Responsibilities

• Verify patient eligibility and coordinate benefits.
• Ensure insurance coverage and determine need for prior authorization.
• Obtain authorization when needed and document in EMR.

Skills

Medical terminology

CPT/HCPCS/ICD-9 knowledge

Discretion and independent judgment

Microsoft Office (Excel/Word)

Active listening

Interpersonal skills

Organizational skills

Education

HS Diploma or GED

Tools

Microsoft Excel

Microsoft Word

Microsoft Office

Job description

Sutter Health is seeking a remote-based Eligibility Specialist to verify patient eligibility, coordinate benefits, and determine if prior authorizations are needed within the Northern California footprint. The role involves documenting approvals in the EMR and responding to patient inquiries within turnaround standards.

Requires a HS diploma or GED and about 1 year of relevant experience, with proficiency in medical terminology and CPT/HCPCS/ICD-9 coding, plus Microsoft Office proficiency.