- Salary
- $5k+
- Location
- Virginia Remote, United States of America
- Workplace
- Remote
- Type
- Full-time
- Education
- High School
- Source
- Workday
Description
City/State
Norfolk, VAWork Shift
First (Days)Overview:
Authorization Coordinator II
The Authorization Coordinator II is responsible for managing and securing prior authorizations for complex and high-cost medical procedures, advanced imaging, specialty services, and outpatient/inpatient care. Acting as a subject matter expert, this position ensures compliance with payer requirements, clinical guidelines, and organizational policies to support efficient patient access, minimize care delays, and optimize reimbursement. They work independently with minimal supervision, proactively identifying potential authorization barriers, resolving issues, and serving as a resource to clinical and administrative teams. This role plays a key part in supporting revenue cycle integrity, reducing denials, and ensuring patients receive timely, coordinated care. Strong follow-up and communications skills are essential to navigate the interactions between insurance companies and providers
Key Responsibilities
Obtain and Verify Authorizations: Request and secure prior authorizations for procedures, diagnostic testing, hospital admissions, and specialty services according to payer requirements.
Insurance Verification: Confirm patient insurance eligibility, benefits, and coverage details to ensure services are authorized appropriately.
Documentation: Accurately record authorization numbers, payer requirements, and status updates in the electronic health record (EHR) or billing system.
Communication: Serve as a liaison between providers, patients, and insurance companies to clarify requirements and resolve authorization issues.
Follow-Up: Track pending authorizations, monitor turnaround times, and escalate delays to prevent service denials or scheduling disruptions.
Denial Prevention and Revenue Cycle Support: Review payer policies and authorization guidelines to reduce authorization-related claim denials. Partner with revenue integrity teams to resolve authorization-related denials.
Collaboration: Work closely with clinical staff, schedulers, and billing teams to ensure all necessary approvals are obtained prior to service delivery.
Confidentiality & Compliance: Adhere to HIPAA and organizational policies while handling sensitive patient and insurance information.
Position is available as Remote (SWS State Eligible)
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Nebraska, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Washington (State) , Wisconsin, Wyoming
Education
High school diploma or equivalent (Required)
Certification/Licensure
No specific certification or licensure requirements
Required Experience
Two years of related experience, such as preregistration, patient access, authorizations, insurance verification, billing, and/or revenue cycle.
Strong attention to detail, organizational skills, and clear communication are essential to success in this role.
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus if established 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 30,000-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.
