Sutter Health
Healthcare
AuthorizationCoordinatorIII
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Authorization Coordinator III at Sutter Health. Skills: Prior authorizations, Referral processing. Obtain referral or prior authorizations. Complete referrals and/or authorizations”
Industry & Context.
Independent judgements
What They're Looking For.
Must Have
HS Diploma or GED, 2 years recent relevant experience
What You'll Do.
Obtain referral or prior authorizations
Complete referrals and/or authorizations
Process authorization and referral requests
Provide support to Case Management staff
Serve as a resource to providers
How You'll Work.
Communication Scope
Telephone communication
Full Job Description
We are so glad you are interested in joining Sutter Health! **Organization:** SPMF-Sutter Pacific Medical Foundation - North **Position Overview:** Provides medical administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers. Completes referrals and/or authorizations accurately and consistently with minimal supervision. In Managed Care, processes authorization and referral requests for members in coordination with health plans and contracted providers. Provides support to the Case Management staff. Serves as a resource to providers regarding the authorization process. **Onsite Position** **Job Description** : **EDUCATION:** * HS Diploma or GED **TYPICAL EXPERIENCE:** * 2 years 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 judgements, 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:** None **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 $31.87 to $39.83 / hour _The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, inc
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