Authorization Coordinator

Stanford Medicine Children's Health

. Provide day-to-day financial clearance of scheduled services assigned to the Authorization department work queues .

Posted 11/9/2026full-timeRemote • California • United StatesJuniorMid-Level💰 $34 - $43 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in financial clearance processes, authorization management, and problem resolution within healthcare settings. Proficient in navigating complex insurance issues and collaborating with various stakeholders to ensure compliance with regulatory standards.

Highest-signal resume keywords

Financial Clearance ManagementAuthorization ProcessingMedical Terminology KnowledgeInsurance Issue ResolutionRegulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Authorization ManagementClaims ProcessingOperational AnalysisProblem ResolutionDocumentation Tracking

Soft Skills

Effective CommunicationCollaborationAdvocacyInterpersonal SkillsAnalytical Thinking

Tools & Technologies

Computer SystemsHealthcare Software

Industry Keywords

MedicareMedi-CalWorkers CompManaged CareChildren's Health ProgramsJoint Commission RequirementsPatient Safety Goals

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

High school diploma or GED equivalent
Two years of directly-related experience
Ability to analyze operational and procedural problems and develop, recommend and evaluate proposed solutions
Ability to speak and write effectively at a level appropriate for the job
Ability to work well with individuals at all levels of the organization
Knowledge of computer systems and software used in the functional area
Knowledge of Medical Terminology
Knowledge of Medicare, Medi-Cal, Workers Comp, Managed Care (HMO, PPO, POS, etc.), and Children's Health Programs (CCS, GHPP, Healthy Families, etc.)
Must abide by Joint Commission requirements, hospital policies and procedures, Service Standards, and Code of Conduct
Must participate in ongoing education and training, and comply with safety, quality, and National Patient Safety Goals programs

Benefits

Comp & perks

Benefits eligible
Full-time employee position
Continuing education
State-of-the-art facilities
Reasonable accommodations for individuals with disabilities
Equal opportunity and non-discrimination employment practices