Sutter Health
AuthorizationCoordinatorII
Neural analysis suggests this role is
optimal for Entry candidates.
“Authorization Coordinator II at Sutter Health. Skills: Patient eligibility verification, Benefit coordination, Insurance coverage, Prior authorization. Perform processes to verify patient eligibility. Coordinate benefits”
What You'll Achieve.
Within turnaround standards
Industry & Context.
Exercise discretion; Make independent judgments
What They're Looking For.
Must Have
1 year recent relevant experience, HS Diploma or GED
What You'll Do.
Perform processes to verify patient eligibility
Ensure insurance coverage
Determine if prior authorization is needed
Document authorization in EMR
Respond to patient inquiries regarding authorizations
How You'll Work.
Communication Scope
Telephone communication
Full Job Description
We are so glad you are interested in joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** * This position is eligible to work from home within the Sutter Health Northern California footprint. Responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards. **Job Description** : **EDUCATION:** * HS Diploma or GED **TYPICAL EXPERIENCE:** * 1 year recent relevant experience. **SKILLS AND KNOWLEDGE:** * Medical terminology, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge. * Knowledge of medical terminology/anatomy. * Ability to exercise discretion and make independent judgments, seeking review when decisions represent significant departure from established guidelines. * Knowledge of Microsoft Office programs including Excel, Word or similar programs. * Ability to maintain composure during challenging interpersonal interactions. * Active listening skills; including interpersonal skills and telephone communication. * Organizational skills with attention to detail and follow-up. **Job Shift:** Days **Schedule:** Full Time **Shift Hours:** 8 **Days of the Week:** Monday - Friday **Weekend Requirements:** As Needed **Benefits:** Yes **Unions:** No **Position Status:** Non-Exempt **Weekly Hours:** 40 **Employee Status:** Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $27.50 to $34.37 / hour _The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a c
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