Authorization Coordinator II

Job description

We are so glad you are interested in joining Sutter Health! Organization: MHLB-Memorial Hospital Los Banos 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. EDUCATION: - HS Diploma or GED TYPICAL EXPERIENCE: - 1 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...