Authorization Coordinator III, Home Health

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

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:

FULL-TIME DAY SHIFT: Weekends

EDUCATION:

• HS Diploma or GED

DEPARTMENT REQUIRED CERTIFICATIONS & LICENSURES

• Department, Home Health: AUTO-Automobile Insurance

• Department, Home Health: DL-Valid Drivers License Class C or B - State Department of Motor Vehicles

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:

Part Time

Shift Hours:

8

Days of the Week:

Variable

Weekend Requirements:

Every Weekend

Benefits:

No

Unions:

No

Position Status:

Non-Exempt

Weekly Hours:

16

Employee Status:

Short Hour

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $22.28 to $31.20 / hour. Applicants in the following states: Nevada & Texas Pay Range is $24.31 to $34.04 / hour. Applicants in the following states: Arizona, Oregon, Arkansas, Idaho, Tennessee, & Utah Pay Range is $22.30 to $28.98 / 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.

Originally posted on Himalayas