Behavioral Health Authorization Coordinator II, Temporary

We are so glad you are interested in joining Sutter Health!

Organization:

PAMF-Palo Alto Medical Foundation SCD

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:

Please note: Work schedules and onsite requirements may be subject to change based on operational needs.

Work Schedule

• Monday – Thursday: 8:30 a.m. – 5:30 p.m.
• Friday: 8:00 a.m. – 5:00 p.m.

 

Hybrid Work Details:
This position follows a hybrid schedule. The employee will work remotely on Mondays and Tuesdays and onsite at 2200 Soquel Avenue on Wednesdays, Thursdays, and Fridays. While training, employee may be asked to work onsite M-F.

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.

BILINGUAL SKILLS ARE HIGHLY PREFERRED FOR THIS POSITION

Job Shift:

Day/Evening

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Monday - Friday

Weekend Requirements:

None

Benefits:

No

Unions:

No

Position Status:

Non-Exempt

Weekly Hours:

40

Employee Status:

Temporary Employee (Fixed Term)

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $31.87 to $39.83 / hour

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.