Authorization Coordinator III

About the role

Sutter Care at Home - Valley seeks a medical administration support professional to assist providers with obtaining referrals or prior authorizations for specialty care visits.

Responsibilities

• Obtain and complete referral and authorization forms accurately and according to healthcare guidelines.
• Process authorization and referral requests for managed care members in collaboration with health plans and contracted providers.
• Support Case Management staff by providing guidance on the authorization process.
• Act as a resource for providers on the authorization procedures.

Requirements

• High School Diploma or GED
• 2 years recent relevant experience

Skills and Knowledge

• Medical terminology
• CPT/HCPCS/ICD-9 coding knowledge
• Knowledge of medical anatomy
• Discretion and independent decision-making ability
• Microsoft Office proficiency (Excel, Word)
• Active listening and interpersonal skills
• Attention to detail and organizational skills

Benefits

• Yes