Responsible for verifying patient eligibility, coordinating benefits, ensuring coverage, and obtaining prior authorizations for patient orders.
We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Sutter Health System Office - Santa BarbaraPosition 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:
DaysSchedule:
Full TimeShift Hours:
8Days of the Week:
Monday - FridayWeekend Requirements:
NoneBenefits:
YesUnions:
NoPosition Status:
Non-ExemptWeekly Hours:
40Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $27.43 to $37.03 / hourThe 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.
Top Skills
Cpt Coding
Hcpcs Coding
Icd-9 Coding
Medical Terminology
MS Office
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