Company: Sentara Health
Posted on: September 21, 2023
First (Days) (United States of America)
Sentara Martha Jefferson Hospital is hiring an Authorization
Coordinator - Full Time Day schedule
Martha 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
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,
Responsible 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
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
HS - High School Grad or Equivalent (Required)
Health Insurance Authorizations, Health Insurance Verification,
Communication, Microsoft Office, Service Orientation,
Technology/Computer, Time Management
Sentara 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 ecfr.gov 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
Keywords: Sentara Health, Charlottesville , Authorization Coordinator, Other , Charlottesville, Virginia
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