Authorization Coordinator II
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Job Description
Authorization Coordinator verifying eligibility, benefits, and insurance coverage for Sutter Health patients. Obtaining prior authorizations and documenting them in electronic medical records.
Responsibilities:
- Verify patient eligibility
- Coordinate benefits
- Ensure insurance coverage
- Determine whether prior authorization is needed
- Obtain required authorizations
- Document authorizations in the patient electronic medical record
- Respond to patient authorization inquiries within turnaround standards
Requirements:
- HS Diploma or GED
- 1 year recent relevant experience
- Knowledge of medical terminology, anatomy, CPT, HCPCS, and ICD-9 coding
- Ability to exercise discretion and make independent judgments
- Knowledge of Microsoft Office programs, including Excel and Word, or similar programs
- Ability to maintain composure during challenging interpersonal interactions
- Active listening, interpersonal, and telephone communication skills
- Organizational skills with attention to detail and follow-up
- Availability to work Monday–Friday day shifts, with weekends as needed
Benefits:
- Comprehensive benefits package for eligible positions
- Equal opportunity employer
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