Prior Auth Coordinator I, Gi, Limited Term - Fremont, United States - Sutter Health
Description
Organization:
PAMF-Palo Alto Medical Foundation ALD
Position Overview:
Processes referral requests for patients to achieve timely and accurate determinations.
Works within scope of practice to complete or forward requests as appropriate to Managed Care physicians and/or nurses as per the Utilization Management (UM) protocols.
Maintains required turnaround times for referral completion. Assists providers and patients with referral status questions. Participates in development and implementation of improvements to the referral process and workflows.*This position is hybrid/mobile. Initial onboarding and training will be onsite in the Fremont and Dublin, California offices.
*This position is hybrid/mobile. Initial onboarding and training will be onsite in the Fremont and Dublin, California offices.
EDUCATION:
HS Diploma or GED
SKILLS AND KNOWLEDGE:
Medical terminology, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge.
Competency in using MS Office Excel and Word, other Managed Care programs.
Ability to identify, understand and solve problems related to claims and referrals.
Communication skills, including understanding of medical concepts, ability to organize thoughts, and communicate issues concisely and effectively.
Proven ability to quickly adjust to changing projects and priorities and to multi-task.
Organizational skills.
Job Shift:
Days
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Monday - Friday
Weekend Requirements:
None
Benefits:
Yes
Unions:
No
This position is work from home eligible.
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Limited Term (Fixed Term)
Number of Openings:
1
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $29.19 to $36.48 / hour
More jobs from Sutter Health
-
patient services representative, call center
Los Altos, CA , USA, United States - 1 week ago
-
Staff Nurse II, Orthopedics PCU10 Summit
Oakland, United States - 6 days ago
-
Staff Nurse Ii, Labor
San Francisco, United States - 2 days ago
-
Registration and Scheduler
Daly City, United States - 1 week ago
-
Phlebotomist - $30-36 per
Vallejo, United States - 1 week ago
-
Registered Nurse, Medical Surgical
Crescent City, United States - 6 days ago