Authorization Coordinator II

Organization:

SRMC-Sutter Roseville Med Center

Position Overview:

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:

Varied

Schedule:

Full Time

Shift Hours:

10

Days of the Week:

Variable

Weekend Requirements:

Every other Weekend

Benefits:

Yes

Unions:

No

Position Status:

Non-Exempt

Weekly Hours:

35

Employee Status:

Regular

Number of Openings:

1

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $0.00 to $0.00 / hour

Qualified applicants with arrest and conviction records will be considered for employment. Applicants for specific positions are still required to disclose certain convictions during the application process, and those convictions may also be considered in determining eligibility for employment in accordance with applicable law.

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