Authorization Coordinator, Home Infusion Pharmacy

We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - Valley Position Overview: Successful candidate will have experience with medical authorizations including IDC-9 coding and medical terminology. Provides medical administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers. Completes referrals and/or authorizations accurately and consistently with minimal supervision. In Managed Care, processes authorization and referral requests for members in coordination with health plans and contracted providers. Provides support to the Case Management staff. Serves as a resource to providers regarding the authorization process. Job Description: EDUCATION: HS Diploma or GED DEPARTMENT REQUIRED CERTIFICATIONS & LICENSURES Department, Home Health: AUTO-Automobile Insurance (remote employees excluded) Department, Home Health: DL-Valid Drivers License Class C or B (remote employees excluded) TYPICAL EXPERIENCE: 2 years 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 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; 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 $26.75 to $34.77 / 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 candidates 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. Working at Sutter Health Sutter Health values and supports the unique talents and strengths that each employee brings to our organization. As a result, you are empowered to apply your passion for healing in innovative ways to care for patients and their families.