Authorization Coordinator

City/State

Norfolk VA

Work Shift

First (Days)

Overview:

Sentara Health is looking to hire an Authorization Coordinator.

The Authorization Coordinator is responsible for review of clinical information received from Physicians and other Clinical providers ensuring clinical data is substantial enough to authorize services. Analyzes clinical information to ensure the services requested are authorized according to clinical protocols. Responsible for validation of member benefits for the services requested. Validates accuracy of insurance enrollment information in the system prior to authorizing services. Requires knowledge of managed care contracting clinical protocols and clinical review requirements. Requires knowledge of regulatory and compliance requirements for government payers self-funded and commercial payers. Ensures appropriate and accurate information is entered into claims system for processing payment.

Related clinical experience as an LPN such as experience in a physician office acute care managed care or clinic setting.

Education:

• High School Diploma (required)

Certification:

• Licensed Practical Nurse LPN (required)

Experience:

• 3 years of related experience (required)
• Utilization Management experience (preferred)
• Diagnostic Imaging experience (preferred)
• Microsoft Suite (Word Excel Outlook) preferred
• Milliman experience (preferred)

Keywords: Talroo- Health LPN Acute Care Managed Care Authorization Coordinator Clinical Review Utilization Management Diagnostic Imaging experience Milliman

We provide market-competitive compensation packages inclusive of base pay incentives and benefits. The base pay range for full-time employment is $27.22 - $39.69 hourly. Additional compensation may be available for this role such as shift differentials standby/on-call pay overtime shift premiums extra-shift incentives or bonus opportunities. Compensation within the range may vary based on qualifications experience location market conditions and business needs. Sentara offers a comprehensive benefits package including medical dental vision life and disability insurance; 401(k)/403(b) with employer match; paid time off (vacation sick time and holidays); paid parental and military leave; educational assistance or student loan repayment; and voluntary benefits.

Benefits: Caring For Your Family and Your Career

Medical Dental Vision plans

Adoption Fertility and Surrogacy Reimbursement up to $10000

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 $5250/year and discounted educational opportunities through Guild Education

Student Debt Pay Down $10000

Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000-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.