Authorization Coordinator

Ability to analyze operational and procedural problems and develop, recommend and evaluate proposed solutions.

Knowledge of computer systems and software used in functional area.

Knowledge of Medical Terminology.

Knowledge of Medicare, Medi-Cal, Workers Comp, Managed Care (HMO, PPO, POS, etc ), Children's Health Programs (CCS, GHPP, Healthy Families, etc ).

Pay Range

Compensation is based on the level and requirements of the role.

Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data.

Typically, new team members join at the minimum to mid salary range.

Minimum to Midpoint Range (Hourly): $34.06 to $42.57

Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.

Reporting to the Authorization Assistant Manager and/or Supervisor, the Authorization Coordinator is responsible for providing day-to-day financial clearance of scheduled services assigned to the Authorization department work ques), and serving as a resource for all departments on complex referral / authorization issues for problem resolution.

The Authorization Coordinator advises on authorization related questions and is expected to serve as a role model throughout the organization as providing high-quality customer service in accordance with established Hospital PCARES practices and department specific regulations, policies and procedures.

Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct.

Act as a patient and family advocate between obtaining necessary information from providers and fulfilling payers' referral/authorization requirements.

Collaborates with corresponding providers and staff members from service sites to promote the success of obtaining referrals and authorizations.

Tracks and notes patient accounts on the authorization status, follow up and payer issues.

At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.

Job ID:

P144986-2995