• Authorization Coordinator III

    Sutter Health (San Francisco, CA)


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

    Organization:

    SPMF-Sutter Pacific Medical Foundation - South

    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.

     

    *Initial training required onsite.*

     

    This role has the opportunity to work at home. The person selected will be required to report to the affiliate, hub location or other Sutter Health facility as requested to meet operational needs.

     

    **Job Description** :

    EDUCATION:

    HS Diploma or GED

    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:

    None

    Benefits:

    Yes

    Unions:

    No

    Position Status:

    Non-Exempt

    Weekly Hours:

    40

    Employee Status:

    Regular

     

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

     

    Pay Range is $33.46 to $41.82 / 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._