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Authorization Coordinator Job at Sentara Healthcare

Sentara Healthcare Charlottesville, VA 22911

Job Information

  • Date Posted
    2023-05-16
  • Location
    Charlottesville, VA 22911
  • Job Title
    Authorization Coordinator
  • Gender
    Both

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 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, billing

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 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.
  • High School Grad or Equivalent
  • Health Insurance Verification 2 years
  • Registration/Billing 2 years
  • Health Insurance Authorizations 2 years
  • Microsoft Office
  • Service Orientation
  • Technology/Computer
  • Time Management
  • Communication



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