Sutter Health · 14 hours ago

Authorization Coordinator III, Patient Financial Service, Remote-NV

Sacramento, CA

Full-time

Remote

Entry Level

$25.93/hr - $32.40/hr

2+ years exp

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Comp. & Benefits

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Responsibilities

Provides medical administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers.

Completes referrals and/or authorizations accurately and consistently with minimal supervision.

In Managed Care, processes authorization and referral requests for members in coordination with health plans and contracted providers.

Provides support to the Case Management staff.

Serves as a resource to providers regarding the authorization process.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Medical terminologyCPT codingHCPCS codingICD-9 codingMicrosoft Office

Required

HS Diploma or GED

Department, Home Health: AUTO-Automobile Insurance

Department, Home Health: DL-Valid Drivers License Class C - State Department of Motor Vehicles

2 years recent relevant experience.

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 judgements, 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.