Detail Oriented, Electronic Medical Records, Healthcare, Healthcare Reimbursement, Insurance, Maintain Compliance, Organizational Skills, Outpatient Care, Patient Care, Time Management, Wound Care
Job Title: Authorization Representative
Location: Roseville, CA
Duration: 26 weeks
Schedule: Day Shift (8:00 17:00)
Job description:
The Authorization Coordinator II supports outpatient rehabilitation and wound care services by managing insurance verification, benefits coordination, and prior authorization processes. This role reviews orders to determine coverage requirements, obtains necessary authorizations, and documents all activity in the electronic medical record. The coordinator ensures timely and accurate processing to support patient care and reimbursement, while adhering to payer guidelines and internal turnaround standards. Responsibilities include responding to patient and staff inquiries regarding authorization status, collaborating with clinical teams, and maintaining compliance with revenue cycle procedures. The position requires strong attention to detail, organization, and the ability to manage multiple requests in a fast-paced, patient-facing environment.
Requirements:- 2 years experience in healthcare revenue cycle or patient access
- Experience with insurance verification, benefits coordination, and prior authorization workflows
- Experience with payer guidelines, authorization requirements, and coverage determination
- Experience handling patient inquiries related to insurance and authorizations
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