Authorization Coordinator

Job Summary

To support the financial clearance of scheduled services, the full-time Authorization Coordinator will manage authorization processes, collaborate with providers, and ensure timely resolution of referral issues while working onsite in Palo Alto, CA.

Key responsibilities

• Act as a patient and family advocate by obtaining necessary information from providers and fulfilling payers' referral/authorization requirements
• Track and manage patient accounts regarding authorization status and assist in prioritizing urgent cases to minimize financial risks
• Investigate and resolve insurance issues, ensuring all authorization claims edits are cleared in accordance with departmental metrics

Required qualifications

• High school diploma or GED equivalent
• Two years of directly-related experience
• Knowledge of medical terminology and various insurance programs (e.g., Medicare, Medi-Cal, Managed Care)
• Ability to analyze operational problems and develop effective solutions
• Familiarity with computer systems and software used in the functional area