What are the responsibilities and job description for the Authorization Coordinator I position at Sentara Health?
Authorization Coordinator I
The Authorization Coordinator I is responsible for securing prior authorizations for patient services while ensuring compliance with payer rules and policies. This role involves collaborating with hospital departments, medical practice staff, providers and patients to facilitate the authorization, retro-authorization, and peer-to-peer process utilizing payer portals and automation tools effectively. The Authorization Coordinator I maintains up-to-date knowledge of insurance plans and regulations and is adept in identifying patient insurance and benefits to streamline the authorization workflow.
Hybrid Work Schedule
Required Weekend Rotation ( Sat and Sunday shift every 6 weeks)
Required Holiday Rotation (1 holiday per year)
Education
High school graduate or equivalent Required)
Certification/Licensure
No specific certification or licensure requirements
Experience
One year of related experience (Required)
Pre Authorizations, Payer portals, insurance experience