Infusion Services Authorization Coordinator I
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Job Location:
Chesapeake, VA - USA
Monthly Salary:
Not Disclosed
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
City/State
Chesapeake VAWork Shift
First (Days)Overview:
Sentara is hiring for an Authorization Coordinator for the Infusion Services office in Chesapeake VA.
Overview
The Authorization Coordinator I is responsible for securing prior authorizations for patient services while ensuring compliance with payer rules and policies. This role involves collaborating with hospital departments medical practice staff providers and patients to facilitate the authorization retro-authorization and peer-to-peer process utilizing payer portals and automation tools effectively. The Authorization Coordinator I maintains up-to-date knowledge of insurance plans and regulations and is adept in identifying patient insurance and benefits to streamline the authorization workflow.
Key Responsibilities
Obtain and Verify Authorizations: Request and secure prior authorizations for procedures diagnostic testing hospital admissions and specialty services according to payer requirements.
Insurance Verification: Confirm patient insurance eligibility benefits and coverage details to ensure services are authorized appropriately.
Documentation: Accurately record authorization numbers payer requirements and status updates in the electronic health record (EHR) or billing system.
Communication: Serve as a liaison between providers patients and insurance companies to clarify requirements and resolve authorization issues.
Follow-Up: Track pending authorizations monitor turnaround times and escalate delays to prevent service denials or scheduling disruptions.
Denial Prevention: Review payer policies and authorization guidelines to reduce authorization-related claim denials.
Collaboration: Work closely with clinical staff schedulers and billing teams to ensure all necessary approvals are obtained prior to service delivery.
Confidentiality & Compliance: Adhere to HIPAA and organizational policies while handling sensitive patient and insurance information.
Other Requirements
Strong attention to detail organizational skills and clear communication are essential to success in this role.
Education
High school graduate or equivalent Required)
Certification/Licensure
No specific certification or licensure requirements
Experience
One year of related experience (Required)
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
Key Skills
- Electro Mechanical
- Instrument Maintenance
- Adobe Dreamweaver
- Document Control Management
- E-Commerce
About Company
Sentara Health, is an integrated, not-for-profit health care delivery system in Virginia and North Carolina. Sentara improves health everyday.
