Authorization Coordinator

🔥 9 hours ago

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Logo of Sutter Health

Sutter Health

10,000+ employees

Founded Sutter Health was founded in 1996.

⚕️ Healthcare Insurance

🤝 Non-profit

💰 Grant on 2016-11

Healthcare Insurance • Non-profit

Sutter Health is a not-for-profit health system serving Northern California, offering a wide range of healthcare services. It provides comprehensive primary and specialty care, including mental health, oncology, orthopedics, women's health, and more. The organization supports both in-person and virtual visits, ensuring accessibility to its services. Sutter Health is also involved in medical research, education, and offers various health plans, including Sutter Health Plus. It emphasizes innovative, compassionate care and maintains a network of hospitals, medical groups, and other health providers across Northern California.

📋 Description

• 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 • 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

🎯 Requirements

• HS Diploma or GED • 2 years recent relevant experience • Medical terminology knowledge • Current Procedural Terminology (CPT) knowledge • Healthcare Common Procedure Coding System (HCPCS) knowledge • International Classification of Diseases (ICD)-9 coding knowledge • Knowledge of Microsoft Office programs including Excel and Word • Ability to maintain composure during challenging interpersonal interactions • Active listening skills • Organizational skills with attention to detail and follow-up

🏖️ Benefits

• Yes

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