Authorization Coordinator I

🕒 October 22

🏄 California – Remote

🏄 California – Remote

💵 $31 - $44 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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Sutter Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded Sutter Health was founded in 1996.

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

💰 Grant on 2016-11

Healthcare • 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

• Process referral requests for patients to achieve timely and accurate determinations • Work within scope of practice to complete or forward requests to Managed Care physicians and/or nurses according to Utilization Management protocols • Maintain required turnaround times for referral completion • Assist providers and patients with referral status questions • Participate in developing and implementing improvements to referral processes and workflows

🎯 Requirements

• HS Diploma or GED • Knowledge of medical terminology • Knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD)-9 coding • Competency using MS Office Excel and Word and other Managed Care programs • Ability to identify, understand, and solve problems related to claims and referrals • Communication skills, including understanding medical concepts, organizing thoughts, and communicating issues concisely and effectively • Ability to quickly adjust to changing projects and priorities and multitask • Organizational skills

🏖️ Benefits

• Comprehensive benefits package for eligible positions • Comprehensive total rewards program

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