Authorization Coordinator II
We are so glad you are interested in joining Sutter Health! 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.
Responsibilities
- Verify patient eligibility
- Coordinate benefits
- Ensure insurance coverage
- Determine if prior authorization is needed for orders
- Obtain authorization when needed and document in the patient electronic medical record
- Facilitate responses to patient inquiries regarding authorizations within turnaround standards
Requirements
- HS Diploma or GED
- 1 year recent relevant experience
Qualifications
- 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
Benefits
Eligible positions include a comprehensive benefits package.
Pay
Pay range is $28.75 to $40.24 per hour. The compensation range may vary based on geographic location. Total compensation considers multiple factors including experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program.
Schedule
Full‑time position with