Authorization Coordinator
Company: Sentara
Location: Charlottesville
Posted on: March 9, 2023
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Job Description:
City/StateCharlottesville, VAOverviewWork ShiftFirst (Days)
(United States of America)Sentara Martha Jefferson Hospital is
hiring an Authorization Coordinator - Full Time Day scheduleMartha
Jefferson Hospital was founded in September 1903, by seven local
physicians. In July 1904, the new hospital opened its doors. Since
then, the hospital has focused on setting the standard for clinical
quality and personalized healthcare services. Located in
Charlottesville, Va., Martha Jefferson is a 176-bed facility
featuring all patient-friendly private rooms.Benefits: Sentara
offers an attractive array of full-time benefits to include
Medical, Dental, Vision, Paid Time Off, Sick, Tuition
Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career
Advancement Opportunities, Work Perks and more.Our success is
supported by a family-friendly culture that encourages community
involvement and creates unlimited opportunities for development and
growth.Be a part of an excellent healthcare organization that cares
about our People, Quality, Patient Safety, Service, and Integrity.
Join a team that has a mission to improve health every day and a
vision to be the healthcare choice of the communities that we
serve!Talroo - Allied Health, coordinator, insurance verification,
registration, billingJob SummaryResponsible for review of the
clinical information received from physicians, department queues
and other clinical providers, ensuring clinical data is substantial
enough to authorize services for both 1 time visit account types
and recurring accounts. Analyzes clinical information to ensure the
services requested are authorized according to clinical and payer
protocols. Responsible for insurance verification, member benefits,
obtaining authorizations and pre-registration for the services
requested. Validates accuracy of insurance enrollment information
in the system prior to authorizing services, making certain policy
is active. Requires knowledge of managed care contracting, clinical
protocols and clinical review requirements. Requires knowledge of
regulatory and compliance requirements, for both government and
commercial payers. Ensures appropriate and accurate information is
entered into systems for processing of patient care and
reimbursement.
Acts as a liaison between patients, physicians, clinical department
and insurance companies.
Medical Terminology and ICD-10 knowledge required.
Trade School Graduate, related field of Certification or college
Associate degree. Must have at least 1 of the 3 requirements.
Healthcare, clerical or financial related field
Must be able to obtain and ensure timely authorizations, meeting
the needs of patient care. Ability to prioritize and expedite
authorizations with payer and/or medical management companies.
Recognizing priority for late notice patient testing. This position
works directly with clinical staff to schedule procedures, arrange
treatment plans, request peer to peer and obtain retro
authorizations. Also works with financial aid for patients without
coverage.Qualifications:HS - High School Grad or Equivalent
(Required)Health Insurance Authorizations, Health Insurance
Verification, Registration/BillingSkillsCommunication, Microsoft
Office, Service Orientation, Technology/Computer, Time
ManagementSentara Healthcare prides itself on the diversity and
inclusiveness of its close to an almost 30,000-member workforce.
Diversity, inclusion, and belonging is a guiding principle of the
organization to ensure its workforce reflects the communities it
serves.Per Clinical Laboratory Improvement Amendments (CLIA), some
clinical environments require proof of education; these regulations
are posted at for further information. In an effort to expedite
this verification requirement, we encourage you to upload your
diploma or transcript at time of application.In support of our
mission "to improve health every day," this is a tobacco-free
environment.
Keywords: Sentara, Charlottesville , Authorization Coordinator, Other , Charlottesville, Virginia
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