Authorization Coordinator III

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

• SPMF-Sutter
• Pacific
• Medical
• Foundation -
• North
• 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. **Onsite Position**

Job Description

EDUCATION: HS Diploma or GED 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. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday Weekend Requirements: None 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 $31.87 to $39.83 / 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. Working at Sutter Health Sutter Health values and supports the unique talents and strengths that each employee brings to our organization. As a result, you are empowered to apply your passion for healing in innovative ways to care for patients and their families.