Full employer posting
We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Bay Position Overview: Responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains authorization and documents in the patient electronic medical record.
Facilitates responses to patient inquiries regarding authorizations within turnaround standards.
EDUCATION HS Diploma or equivalent education/experience. Preferred experience as typically acquired in 1 year within a health care setting. 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 judgments, 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.
26.36-32.94 Job
Days
Full Time Shift Hours: 8 Days of the Week: Monday - Friday Weekend
Occasionally
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.
is $0.00 to $0.00 / hour. San Francisco Bay Area Pay Range is $33.06 to $46.28 / hour. Sacramento Valley Area Pay Range is $28.75 to $40.24 / hour.
The posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different
based on their work location. Candidate starting salaries consider 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.
About the role
Responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards.