[Hiring] Authorization Coordinator @Adventist Health

Role Description

Manages authorizations of all activities requiring referrals for services provided. Serves as the key coordinator and liaison whose primary role is to expedite the collection process. Handles patient insurance management and outreach, with regards to deductibles and authorization to bill.

Qualifications

• High School Education/GED or equivalent: Preferred
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred

Requirements

• Obtains home health and hospice authorizations and retroactive authorizations as needed.
• Communicates with providers, clinical staff and caregivers to obtain information required for authorization approval.
• Verifies eligibility of members, determines benefit coverage and communicates deductible to patient.
• Gathers clinical documentation needed from case management and other team members to obtain continued authorization.
• Performs other job-related duties as assigned.
• Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
• Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Company Description

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.