Authorization Specialist, Patient Financial Services

4 weeks ago


Sacramento, California, United States Sutter Health Full time
Job Summary:

The Authorization Coordinator, Patient Financial Service is responsible for verifying patient eligibility, coordinating benefits, and ensuring insurance coverage. This role requires strong organizational skills, attention to detail, and the ability to exercise discretion and make independent judgments. The ideal candidate will have knowledge of medical terminology, current procedural terminology, and healthcare common procedure coding system.

Key Responsibilities:

* Verify patient eligibility and coordinate benefits
* Ensure insurance coverage and determine prior authorization needs
* Obtain authorization and document in the patient electronic medical record
* Facilitate responses to patient inquiries regarding authorizations

Requirements:

* High school diploma or equivalent
* 1 year of recent relevant experience
* Knowledge of medical terminology, CPT, HCPCS, and ICD-9 coding
* Strong organizational skills and attention to detail
* Ability to exercise discretion and make independent judgments

Working Conditions:

* This position is work from home eligible
* Must reside in Nevada

Benefits:

* Comprehensive benefits package

Equal Opportunity Employer:

Sutter Health is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity, equity, and inclusion.

Pay Range:

$27.16 to $33.94 per hour

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