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Authorization Coordinator III, Patient Financial Service, Remote-NV

Remote:

Full Remote

Contract:

Full time

Salary:

50 - 62K yearly

Experience:

Mid-level (2-5 years)

Work from:

California (USA), Nevada (USA), United States

Offer summary

Qualifications:

High School Diploma or GED, 2 years recent relevant experience, Knowledge of medical terminology, Proficiency in Microsoft Office programs.

Key responsabilities:

Obtain patient referrals and prior authorizations
Process authorization and referral requests
Support Case Management staff
Serve as a resource to providers

Sutter Health XLarge http://www.sutterhealth.org/

10001 Employees

See more Sutter Health offers

Job description

We are so glad you are interested in joining Sutter Health!

Organization:

SMF-Sutter Med Foundation- Central

Position Overview:

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.

**CA Applicants Only**

Job Description:

DISCLAIMER

You must be a resident of the state of Nevada to be eligible for consideration for this position.

EDUCATION:

HS Diploma or GED

DEPARTMENT REQUIRED CERTIFICATIONS & LICENSURES

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

TYPICAL EXPERIENCE:

2 years 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 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.

#LI-MI1

Job Shift:

Days

Schedule:

Full Time

Shift Hours:

Days of the Week:

Monday - Friday

Weekend Requirements:

None

Benefits:

Yes

Unions:

Position Status:

Non-Exempt

Weekly Hours:

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $25.93 to $32.40 / hour

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.