About this role
We are so glad you are interested in joining Sutter Health!
Organization
SHSO-Sutter Health System Office-Bay
Position Overview
Responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards.
Job Description
EDUCATION
HS Diploma or equivalent education/experience.
PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN
1 year within a health care setting.
SKILLS AND KNOWLEDGE
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 judgments, 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; including interpersonal skills and telephone communication.
Organizational skills with attention to detail and follow-up. Pay Range: 26.36-32.94
Job Shift
Days
Schedule
Full Time
Shift Hours
8
Days of the Week
Monday - Friday
Weekend Requirements
Occasionally
Benefits
Yes
Unions
No
Position Status
Non-Exempt
Weekly Hours
40
Employee Status
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $0.00 to $0.00 / hour. San Francisco Bay Area Pay Range is $33.06 to $46.28 / hour. Sacramento Valley Area Pay Range is $28.75 to $40.24 / hour.
The posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.