Sentara Health
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Authorization Coordinator II
role at
Sentara Health
City/State: Chesapeake, VA
Shift: First (Days)
Full Time (40 hrs/wk)
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.
The Authorization Coordinator II works 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 elevate 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.
Education
High School Diploma or Equivalent
Experience
Medical terminology and ICD-10 (Required)
Two years related experience in one or more of the following areas is required:
Preregistration (Required)
Patient Access (Required)
Authorizations (Required)
Insurance Verification (Required)
Billing/Revenue Cycle (Required)
Home Health Experience (Preferred)
Authorization Experience (Preferred)
Epic Experience (Preferred)
Benefits
Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
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.
#J-18808-Ljbffr
Authorization Coordinator II
role at
Sentara Health
City/State: Chesapeake, VA
Shift: First (Days)
Full Time (40 hrs/wk)
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.
The Authorization Coordinator II works 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 elevate 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.
Education
High School Diploma or Equivalent
Experience
Medical terminology and ICD-10 (Required)
Two years related experience in one or more of the following areas is required:
Preregistration (Required)
Patient Access (Required)
Authorizations (Required)
Insurance Verification (Required)
Billing/Revenue Cycle (Required)
Home Health Experience (Preferred)
Authorization Experience (Preferred)
Epic Experience (Preferred)
Benefits
Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
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.
#J-18808-Ljbffr