Authorization Coordinator II, Neurology at Sutter Health

San Francisco, California, United States -

Full Time

Start Date

Immediate

Expiry Date

07 Mar, 26

Salary

39.83

Posted On

07 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Terminology, CPT Coding, HCPCS Coding, ICD-9 Coding, Anatomy Knowledge, Discretion, Independent Judgment, Microsoft Office, Excel, Word, Interpersonal Skills, Telephone Communication, Organizational Skills, Attention to Detail, Active Listening

Industry

Hospitals and Health Care

Description

We are so glad you are interested in joining Sutter Health! Organization: SPMF-Sutter Pacific Medical Foundation - South 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: 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, including, but not limited to a candidate’s 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. Eligible positions also include a comprehensive benefits package.

Responsibilities

The Authorization Coordinator II is responsible for verifying patient eligibility, coordinating benefits, and determining the need for prior authorization. They also obtain necessary authorizations and document them in the patient electronic medical record.