Director of Software Engineering leading strategic initiatives in Finance and Corporate Technology. Overseeing development and inspiring collaboration within high performing teams focused on delivering business objectives.
About the role
- Authorization Coordinator II at Sutter Health performing eligibility verification, benefits coordination, and prior authorization management. Hybrid role supporting patient financial services and EMR documentation.
Responsibilities
- 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.
- Works within Patient Financial Services to support authorization workflows.
- Job Shift: Days; Schedule: Full Time; Shift Hours: 8; Days of the Week: Monday - Friday; Weekend Requirements: As Needed.
- This is a Limited Term position - 26 weeks.
Requirements
- HS Diploma or GED
- 1 year recent relevant experience.
- 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.
Benefits
- Benefits: Yes
- Eligible roles also qualify for a comprehensive benefits package.
- This is a hybrid position (most days working remote and occasionally onsite).
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