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Sutter Health

Authorization Coordinator III

Reposted 22 Days Ago
Be an Early Applicant
In-Office
Goleta, CA, USA
29K-39K Hourly
Junior
In-Office
Goleta, CA, USA
29K-39K Hourly
Junior
The Authorization Coordinator III verifies patient eligibility, coordinates benefits, ensures insurance coverage, and documents authorization requests in the electronic medical record.
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Organization:

SC - Sansum Clinic

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:

  • This position is 100% onsite in Santa Barbara, CA

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.
PHYSICAL ACTIVITIES AND REQUIREMENTS:
See required physical demands, mental components, visual activities & working conditions at the following link: Job Requirements

Job Shift:

Days

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Monday - Friday

Weekend Requirements:

As Needed

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 $28.80 to $38.88 / 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.

Top Skills

Cpt Coding
Excel
Hcpcs Coding
Icd-9 Coding
MS Office
Word

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