Coordinator-Authorization

Coordinator-Authorization

Baptist Memorial Health Care

The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of utilization review and supporting Baptist’s reimbursement strategy. The focus is on prior authorization for services using evidence‑based criteria. Key duties include payer notification, authorization management, denial management, escalations, and communication and coordination between payer, business office and utilization review team.

• Completes payer notification
• Communicates incorrect payer with patient access
• Communicates with Utilization Review Nurse
• Works assigned queues in the electronic medical record
• Documents next review dates in the electronic medical record
• Documents and updates authorized or denied information on auth/cert screen in the electronic medical record
• Schedules peer to peer when indicated
• Completes assigned goals

• Minimum
  
  Required:
  
  2 years’ clerical/support experience in a medical environment.
• Preferred/Desired: Previous authorization coordinator experience.

• Minimum
  
  Required:
  
  High School Degree or equivalent.
• Preferred/Desired: Bachelor’s degree.

• Solid intermediate computer skills (Microsoft Office Suite); knowledge of medical terminology and insurance; accurate data entry.

Entry level

Other

Other

Hospitals and Health Care