Authorization Coordinator II
Authorization Coordinator II
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Job Description
City/State
Norfolk VAWork Shift
First (Days)Overview:
Sentara is hiring an Authorization Coordinator II. This position is remote.
Responsible for reviewing clinical information obtained from physicians department queues and other clinical providers ensuring data is substantial enough to authorize services for appropriate visit account types. Analyzes clinical information to ensure the services requested are authorized according to clinical and payer protocols. Ability to properly obtain insurance eligibility member benefits obtain authorizations and complete pre-registration for the services requested. Validates accuracy of active insurance enrollment in the system prior to authorizing services.
Must demonstrate the ability to understand complex payer policy and treatment plans to secure authorization timely with correct documentation and with the appropriate payer requirements in a timely manner. Required to demonstrate excellent customer service skills with all customers to include patients piers department team members and leadership. Ability to act as a liaison between patients physicians clinical department and insurance company.
Responsible to secure semi complex difficult authorization work as determined by payer behavior time needed to authorize opportunity research and key performance indicators. Required to have knowledge in modality and payer behavior. Accountable to problem solve investigate and help resolve problems for work assignment. Must collaborate effectively with internal and external teams to reach desired results as determined by key performance indicators and leadership.
Education
- High School Grad or Equivalent (Required)
Certification/Licensure
- No specific certification or licensure requirements
Experience
- Health Insurance Verification or Authorization or Registration/Billing experience required
- Medical terminology and ICD-10 knowledge required
Talroo - Allied Health insurance registration medical terminology
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobacco-free environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.
Required Experience:
IC
Employment Type
Full-Time
