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Sutter HealthPosted 1 month ago

Authorization Coordinator III, ENT Head & Neck Surgery

$69,576–$97,406 year

On-siteSan Francisco, California, United States

Full TimeHigh School Or EquivalentEnterprise

Job Summary

Obtain referral or prior authorizations for patients to see specialty providers and complete referrals and/or authorizations accurately and consistently with minimal supervision. Process authorization and referral requests for members in coordination with health plans and contracted providers while providing support to the Case Management staff. Serve as a resource to providers regarding the authorization process, exercising discretion and making independent judgements with attention to detail. Maintain composure during challenging interpersonal interactions and utilize active listening skills for telephone communication. Requires two years of recent relevant experience and knowledge of medical terminology, CPT, HCPCS, and ICD-9 coding. Full-time, 40-hour week Monday through Friday.

Required Qualifications

  • HS Diploma or GED
  • 2 years recent relevant experience
  • 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 maintain composure during challenging interpersonal interactions
  • Active listening skills
  • Interpersonal skills
  • Telephone communication
  • Organizational skills with attention to detail and follow-up
  • Weekend Requirements: None

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