Prior Authorization Coordinator - Remote But Must Live In Northern California (Location Specific)
MUST LIVE WITHIN 50 MILES OF THESE LOCATIONS: Sacramento, CAModesto, CAEmeryville, CA DescriptionThe authorization coordinator position is responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtain authorization for test, therapies or referral to specialist and document in the patient electronic medical record. This position will facilitate responses to patient and provider inquiries regarding authorizations and referrals within turnaround standards. The authorization coordinator position is responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtain authorization for test, therapies or referral to specialist and document in the patient electronic medical record. This position will facilitate responses to patient and provider inquiries regarding authorizations and referrals within turnaround standards.Additional Skills & QualificationsReferral Entry Functions• Monitor and resolve referral/authorization orders in the Referral Pool in Epic in a timely manner Monitor daily urgent and pending referrals to ensure timeliness standards are met and customer service is maximized according to standard workflows Ensure completeness and accuracy of referrals by confirming CPT, ICD and/or HCPCS codes, requested provider, and/or place of service Verify insurance is accepted by the Foundation for all incoming referrals Obtain added medical information from providers and/or office staff as necessary for incoming referrals Process referrals per standard work Process referrals per health plan contracts and requirements Provide necessary medical information to obtain final determinations when required Research all no authorization denials and submit for retro authorizations Obtain appropriate approval for requested orders Maintain accuracy with attention to detail in each referral• Proactively researches problem issues related to own work, and recommends resolutionsExperience LevelIntermediate LevelPay and BenefitsThe pay range for this position is $24.00 - $24.00/hr.Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)Workplace TypeThis is a fully remote position.Application DeadlineThis position is anticipated to close on Aug 15, 2025.h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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