• Authorization Coordinator III

    Sutter Health (Brookings, OR)


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

    Organization:

    SCH-Sutter Coast Hospital

    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 GED

    DEPARTMENT REQUIRED CERTIFICATIONS & LICENSURES

    Department, Home Health: AUTO-Automobile Insurance (remote employees excluded)

     

    Department, Home Health: DL-Valid Drivers License (remote employees excluded)

    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:

    As Needed

    Benefits:

    Yes

    Unions:

    No

    Position Status:

    Non-Exempt

    Weekly Hours:

    40

    Employee Status:

    Regular

     

    Employees 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 $28.92 to $36.15 / 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._