Stanford Medicine Children's Health

General

• Provide day-to-day financial clearance of scheduled services assigned to the Authorization department work queues
• Serve as a resource for departments on complex referral and authorization issues and provide problem resolution
• Act as a patient and family advocate between obtaining necessary provider information and fulfilling payer referral/authorization requirements
• Collaborate with providers and service-site staff to obtain referrals and authorizations
• Track and document patient accounts, authorization status, follow-up activities, and payer issues
• Prioritize clinically urgent cases and secure authorizations in advance to minimize financial risks
• Process and follow up on denied authorizations, peer-to-peer requests, and medical-justification requirements
• Research, review, correct, and resubmit authorizations as needed
• Clear authorization claims edits holding claims according to department metrics and standards
• Investigate, resolve, and document insurance issues and contact relevant stakeholders
• Coordinate with contracting to obtain letters of agreement for patients with non-contracted coverage
• Inform the Authorization Assistant Manager about potential deferrals or denials of elective/non-emergent services
• Communicate with access nurses and clinicians for triage and insurance issue resolution
• Perform other assigned duties and comply with hospital safety, quality, ethical treatment, and patient-care requirements

Explore Authorization Coordinator at Stanford Medicine Children's Health. Review requirements and application details.

Authorization Coordinator

Accountant

• Maintain general ledger accounts and develop financial statements and reports
• Perform complex accounting activities and specialized assignments
• Assist with monthly, quarterly and annual period close processes
• Design, implement and maintain internal controls, financial-system reports and interfaces
• Prepare and/or review account reconciliations, cost reports, billings, bank reconciliations and other financial reports
• Provide information to auditors and management
• Prepare audit schedules
• Recommend procedures and implement corrective actions for operational and compliance issues
• Review and/or prepare federal, state and other regulatory reports
• Review and/or prepare financial transactions and general ledger journal entries and supporting documentation
• Review, maintain, reconcile and update general ledger accounts
• Ensure accurate and timely financial reporting to stakeholders
• Provide guidance to lower-level personnel as needed

Explore Senior Accountant – Intercompany at Stanford Medicine Children's Health. Review requirements and application details.

Senior Accountant – Intercompany

• Provide day-to-day financial clearance of scheduled services assigned to the Authorization department work queues
• Serve as a resource for departments on complex referral and authorization issues and problem resolution
• Advise on authorization-related questions
• Provide high-quality customer service according to Hospital PCARES practices and department regulations, policies and procedures
• Act as a patient and family advocate by obtaining necessary provider information and fulfilling payer referral and authorization requirements
• Collaborate with providers and service-site staff to obtain referrals and authorizations
• Track and document patient accounts, authorization status, follow-up actions and payer issues
• Help prioritize clinically urgent cases and secure authorizations in advance to minimize financial risk
• Process and follow up on denied authorizations, peer-to-peer requests and further medical justification requirements
• Research, review and resubmit authorizations as needed
• Clear authorization claims edits holding claims according to department metrics and standards
• Investigate, resolve and document insurance issues and contact relevant stakeholders
• Coordinate with contracting to obtain letters of agreement for patients with non-contracted coverage
• Inform the Authorization Assistant Manager of potential deferrals or denials of elective/non-emergent services
• Communicate with access nurses and clinicians for triage and insurance issue resolution

Open roles

Authorization Coordinator

Senior Accountant – Intercompany

Authorization Coordinator