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Authorization Coordinator III, Home Health
Sutter Health. Provides medical administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical administration support, including obtaining referrals and prior authorizations, while maintaining accuracy and compliance with coding standards such as CPT, HCPCS, and ICD-9. Proficient in Microsoft Office applications and skilled in effective communication and organizational practices.
Highest-signal resume keywords
Medical Terminology KnowledgeCPT Coding KnowledgeHCPCS Coding KnowledgeICD-9 Coding KnowledgeOrganizational Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Referral ProcessingPrior AuthorizationCPT CodingHCPCS CodingICD-9 CodingMedical TerminologyAttention to Detail
Soft Skills
Active ListeningInterpersonal SkillsTelephone CommunicationComposure Under Pressure
Tools & Technologies
Microsoft OfficeExcelWord
Certifications & Qualifications
HS DiplomaGEDValid Drivers License Class C or B
Industry Keywords
Managed CareHealthcare AdministrationAuthorization Process
About the role
Key responsibilities & impact- 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
- Processes authorization and referral requests for members in coordination with health plans and contracted providers in Managed Care
- Provides support to Case Management staff
- Serves as a resource to providers regarding the authorization process
Requirements
What you’ll need- HS Diploma or GED
- AUTO-Automobile Insurance
- Valid Drivers License Class C or B - State Department of Motor Vehicles
- 2 years recent relevant experience
- Medical terminology knowledge
- Current Procedural Terminology (CPT) coding knowledge
- Healthcare Common Procedure Coding System (HCPCS) coding knowledge
- 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
Benefits
Comp & perks- Eligible positions include a comprehensive benefits package