Auth Coordinator II - Hospital Outpatient Specialty Clinic - Sutter Health : Job Details

We are so glad you are interested in joining Sutter Health!Organization:MMC-Memorial Medical CenterPosition Overview: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.Job Description:EDUCATION:* HS Diploma or GEDTYPICAL EXPERIENCE:* 1 year 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 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.Job Shift:DaysSchedule:Full TimeShift Hours:8Days of the Week:Monday - FridayWeekend Requirements:NoneBenefits:YesUnions:NoPosition Status:Non-ExemptWeekly Hours:40Employee Status:RegularEmployees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines.Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.Pay Range is $25.87 to $32.33 / hourThe 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.