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CAREERS

Authorization Coordinator

Aya Healthcare - Sutter Health

ABOUT THIS ROLE

Authorization Coordinator 
Remote - CA
  • Shift: Day 5x8-Hour (09:00 AM - 5:00 PM)
  • Company Provides all Equipment
Note: MUST be legally authorized to work in the United States. 

SUMMARY / DUTIES:
  • The Authorization Coordinator processes patient referral requests to support timely and accurate determinations. This role reviews referrals according to standard work, health plan contracts, and utilization management protocols, forwarding requests to nurses or physicians when required.
  • The coordinator monitors pending referrals, maintains turnaround-time standards, documents referral updates and determinations, and assists providers and patients with status questions. The position requires strong attention to detail, medical terminology knowledge, and effective communication of medical concepts and issues. The coordinator also identifies workflow problems, reports anticipated delays, and supports process improvements. Success requires organized remote work habits, sound judgment, adaptability, and the ability to manage changing priorities while maintaining accuracy.

REQUIREMENTS:
  • MUST HAVE EPIC EXPERIENCE
  • At least 1+ year experience in healthcare administration, referrals, authorizations, or managed care
  • Experience processing referrals according to protocols, health plan requirements, and turnaround times
  • Proficiency in medical terminology and healthcare workflows
  • Experience with Microsoft Excel, Word, and managed care systems
  • Ability to document referral status and determinations accurately
  • Ability to identify, understand, and resolve referral-related issues

PREFERRED REQUIREMENTS:
  • Experience in a health plan, medical group, or utilization management setting
  • Knowledge of CPT, HCPCS, and ICD-9 coding
  • Experience obtaining medical information for authorization determinations
  • Experience monitoring pending referrals and escalating anticipated delays

We are an equal opportunity employer, and we are an organization that values diversity. We welcome applications from all qualified candidates, including minorities and persons with disabilities. 
 
Req3490511

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