Offer summary

Qualifications:

High School Diploma or Equivalent required., Experience in Insurance Verification, Authorization, and Registration/Billing is necessary., Knowledge of medical terminology and ICD-10 is essential., No specific certification or licensure is required..

Key responsibilities:

Review clinical information from physicians and clinical providers to authorize services.

Analyze clinical data to ensure compliance with clinical and payer protocols.

Obtain insurance eligibility and member benefits, and complete pre-registration for services.

Validate the accuracy of active insurance enrollment before authorizing services.

Job description

City/State

Charlottesville, VA

Work Shift

First (Days)

Overview:

Sentara is hiring a remote Authorization Coordinator II

Responsible for reviewing clinical information obtained from physicians, department queues and other clinical providers, ensuring data is substantial enough to authorize services for appropriate visit account types. Analyzes clinical information to ensure the services requested are authorized according to clinical and payer protocols. Ability to properly obtain insurance eligibility, member benefits, obtain authorizations and complete pre-registration for the services requested. Validates accuracy of active insurance enrollment in the system prior to authorizing services.

Education

High School Diploma or Equivalent (Required)

Certification/Licensure

No specific certification or licensure requirements

Experience

Insurance Verification experience (Required)
Insurance Authorization experience (Required)
Registration/Billing experience (Required)
Medical terminology and ICD-10 knowledge (Required)

Talroo - Allied Health, insurance, verification, authorization, registration, billing

Benefits: Caring For Your Family and Your Career

• Medical, Dental, Vision plans

• Adoption, Fertility and Surrogacy Reimbursement up to $10,000

• Paid Time Off and Sick Leave

• Paid Parental & Family Caregiver Leave

• Emergency Backup Care

• Long-Term, Short-Term Disability, and Critical Illness plans

• Life Insurance

• 401k/403B with Employer Match

• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education

• Student Debt Pay Down – $10,000

• Reimbursement for certifications and free access to complete CEUs and professional development

• Pet Insurance

• Legal Resources Plan

• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met

Sentara Martha Jefferson Hospital, located in Charlottesville, VA, is a Magnet status, 176-bed facility featuring all patient-friendly private rooms. Since its founding more than 100 years ago, Sentara Martha Jefferson has constantly evolved to meet the diverse healthcare needs of the patients who trust us with their care.

Today, our vision is as clear as it was to our founders. We will continue to set the standard for clinical quality and personalized healthcare services. Our hospital offers specialized care in Cancer Care, Heart and Vascular, Neurology and Neurosurgery (including a Primary Stroke Center), Orthopedics, and Maternity.

Sentara Health is an equal opportunity employer and 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.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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