Authorization Coordinator III, Work From Home, Utah Only

Organization

Scah-sutter Care At Home - Ut

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.

Job Description

Education

Hs Diploma Or Equivalent

education/

experience

Preferred

Experience As Typically Acquired In

2 years

experience working in a health care setting and insurance verification.

2 years

experience working with insurance prior authorizations, referrals and working with electronic health record.

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

Variable

Weekend

Requirements

Rotating Weekends

Benefits

Yes

Unions

No

This position is work from home eligible.

Position Status

Non-exempt

Weekly Hours

32

Employee Status

Regular

Number Of Openings

1

Sutter Health Is An

equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $22.07 to $28.68 / hour

The

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.