Sutter Health
SF Oncology Authorization Coordinator
Sutter Health, San Francisco, California, United States, 94199
Join to apply for the
SF Oncology Authorization Coordinator
role at
Sutter Health 4 days ago Be among the first 25 applicants Join to apply for the
SF Oncology Authorization Coordinator
role at
Sutter Health Get AI-powered advice on this job and more exclusive features. We are so glad you are interested in joining Sutter Health!
Do you have the skills to fill this role Read the complete details below, and make your application today.
Organization
SPMF-Sutter Pacific Medical Foundation - South
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
Verifies patient eligibility, facility approval, follows up as necessary to obtain authorization in a timely fashion and enters authorization numbers in medical record/computer as directed. Collects pertinent demographics and clinical data for each authorization required and places calls to insurance companies and/or reviews organizations to obtain authorization. Enters all authorization requests into the patient’s electronic health record utilizing appropriate codes, treatment types and providers. Communicates with physicians and department staff when there are issues with authorization. Interfaces with patients or third-party payers as necessary to gather additional information and convey approvals, denials or appeals. Provides excellent customer service by listening to provider, staff and patient concerns and assisting them in resolving issues in a courteous manner while documenting appropriately. Cross-trains others to assure consistent coverage; provide back up support as needed.
Education
HS Diploma or GED
Typical Experience
1 year recent relevant experience.
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.
Job Shift
Days
Schedule
Full Time
Shift Hours
8
Days Of The Week
Monday - Friday
Weekend Requirements
None
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 $31.88 to $39.83 / hour
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.Seniority level
Seniority levelEntry level Employment type
Employment typeFull-time Job function
Job functionHealth Care Provider IndustriesHospitals and Health Care Referrals increase your chances of interviewing at Sutter Health by 2x Sign in to set job alerts for “Medical Coordinator” roles. San Francisco, CA $21.00-$27.00 1 month ago San Francisco, CA $31.88-$39.83 4 days ago Medical Assistant/Front Office CoordinatorMedical Assistant/Front Office Coordinator San Francisco, CA $69.85-$87.31 4 days ago Medical Assistant/Front Office Coordinator Redwood City, CA $21.00-$26.00 1 month ago San Francisco, CA $25.00-$32.00 4 days ago San Francisco, CA $25.25-$27.25 2 weeks ago San Francisco, CA $17.00-$25.00 3 weeks ago Dental Front Office Coordinator - Brothers Dental and Implants San Francisco, CA $24.00-$29.00 3 weeks ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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SF Oncology Authorization Coordinator
role at
Sutter Health 4 days ago Be among the first 25 applicants Join to apply for the
SF Oncology Authorization Coordinator
role at
Sutter Health Get AI-powered advice on this job and more exclusive features. We are so glad you are interested in joining Sutter Health!
Do you have the skills to fill this role Read the complete details below, and make your application today.
Organization
SPMF-Sutter Pacific Medical Foundation - South
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
Verifies patient eligibility, facility approval, follows up as necessary to obtain authorization in a timely fashion and enters authorization numbers in medical record/computer as directed. Collects pertinent demographics and clinical data for each authorization required and places calls to insurance companies and/or reviews organizations to obtain authorization. Enters all authorization requests into the patient’s electronic health record utilizing appropriate codes, treatment types and providers. Communicates with physicians and department staff when there are issues with authorization. Interfaces with patients or third-party payers as necessary to gather additional information and convey approvals, denials or appeals. Provides excellent customer service by listening to provider, staff and patient concerns and assisting them in resolving issues in a courteous manner while documenting appropriately. Cross-trains others to assure consistent coverage; provide back up support as needed.
Education
HS Diploma or GED
Typical Experience
1 year recent relevant experience.
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.
Job Shift
Days
Schedule
Full Time
Shift Hours
8
Days Of The Week
Monday - Friday
Weekend Requirements
None
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 $31.88 to $39.83 / hour
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.Seniority level
Seniority levelEntry level Employment type
Employment typeFull-time Job function
Job functionHealth Care Provider IndustriesHospitals and Health Care Referrals increase your chances of interviewing at Sutter Health by 2x Sign in to set job alerts for “Medical Coordinator” roles. San Francisco, CA $21.00-$27.00 1 month ago San Francisco, CA $31.88-$39.83 4 days ago Medical Assistant/Front Office CoordinatorMedical Assistant/Front Office Coordinator San Francisco, CA $69.85-$87.31 4 days ago Medical Assistant/Front Office Coordinator Redwood City, CA $21.00-$26.00 1 month ago San Francisco, CA $25.00-$32.00 4 days ago San Francisco, CA $25.25-$27.25 2 weeks ago San Francisco, CA $17.00-$25.00 3 weeks ago Dental Front Office Coordinator - Brothers Dental and Implants San Francisco, CA $24.00-$29.00 3 weeks ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr