Authorization Rep

Job Title: Authorization Coordinator I

Location: 100% Remote Sutter Health CAOP Authorization

Schedule: Remote AM shift 5x8-hour days 6 months from onboarding date Contract full-time non-exempt

Requirements:

HS diploma or equivalent education/experience
Epic experience required
Experience with referral processing prior authorizations or utilization management workflows
Experience with CPT HCPCS ICD-9/ICD-10 medical terminology and payer requirements
Ability to process incoming phones email escalations and RightFax authorization requests
Ability to monitor pending referrals and meet turnaround time standards
Proficiency in Microsoft Word Excel EMR documentation and managed care systems
Ability to provide clear detailed and direct responses to situational workflow questions

Preferred Requirements:

Experience with high-volume central authorization or revenue cycle environments
Experience verifying insurance eligibility and coordinating with providers patients and payers
Experience resolving referral claims denial or authorization-related issues
Ability to work independently in a stable remote environment
Ability to ask thoughtful questions and communicate workflow gaps or anticipated issues

Summary / Duties:
The Authorization Coordinator I supports the Central Authorization Optimization Program by processing referral and prior authorization requests monitoring pending referrals and documenting status updates accurately in Epic and related managed care systems. This role covers incoming phones email escalations and RightFax authorization requests to help reduce backlog improve turnaround times and support provider and patient access to care. The coordinator follows UM protocols payer contract requirements and standard work to complete requests within scope or route cases to nurses or physicians when needed. Candidates should be prepared to discuss specific examples of referral authorization documentation payer follow-up and issue-resolution experience in a remote setting.