Authorization Coordinator - Orthopedics - 138825
UC San Diego Health, San Diego, CA, United States
UCSD Layoff from Career Appointment : Apply by 4-30-26 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Reassignment Applicants : Eligible Reassignment clients should contact their Disability Counselor for assistance.
DESCRIPTION
The Authorization Coordinator is responsible for obtaining and managing prior authorizations for outpatient procedures, surgeries, injections, and diagnostic services. This role reviews provider orders and clinical documentation to ensure payer requirements are met and communicates directly with insurance payers to verify coverage, authorization criteria, and medical necessity. The Authorization Coordinator tracks authorization status, manages work queues, and resolves delays or denials to support timely access to care.
In addition, this role coordinates and schedules patient appointments, procedures, once authorization is approved, collaborating closely with providers, clinic staff, and surgical scheduling teams. The position also communicates authorization and scheduling updates to patients and ensures all authorization and scheduling activities are accurately documented in the electronic health record.
MINIMUM QUALIFICATIONS
Three (3) years of directly related experience in a large complex healthcare or Orthopedics clinic setting; or an equivalent combination of education and experience.
Three (3) years of recent Home Health and Durable Medical Equipment (DME) experience.
In depth knowledge of hospital registration and insurance authorizations, including ICD-9, CPT, and HCPCS Codes.
Prior experience with EPIC, IDX , PCIS, and MS Office (Word, Excel, Outlook, PowerPoint), with demonstrated skill working between multiple systems during calls.
Possess excellent customer service skills.
Familiar with EPIC Cadence and WQs preferred.
PREFERRED QUALIFICATIONS
Experience working in a surgical authorization coordination unit or academic medical center.
SPECIAL CONDITIONS
Must be able to work various hours and locations based on business needs.
Employment is subject to a criminal background check and pre-employment physical.
Pay Transparency Act
Annual Full Pay Range: $57,399 - $71,347 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $27.49 - $34.17
Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).
Reassignment Applicants : Eligible Reassignment clients should contact their Disability Counselor for assistance.
DESCRIPTION
The Authorization Coordinator is responsible for obtaining and managing prior authorizations for outpatient procedures, surgeries, injections, and diagnostic services. This role reviews provider orders and clinical documentation to ensure payer requirements are met and communicates directly with insurance payers to verify coverage, authorization criteria, and medical necessity. The Authorization Coordinator tracks authorization status, manages work queues, and resolves delays or denials to support timely access to care.
In addition, this role coordinates and schedules patient appointments, procedures, once authorization is approved, collaborating closely with providers, clinic staff, and surgical scheduling teams. The position also communicates authorization and scheduling updates to patients and ensures all authorization and scheduling activities are accurately documented in the electronic health record.
MINIMUM QUALIFICATIONS
Three (3) years of directly related experience in a large complex healthcare or Orthopedics clinic setting; or an equivalent combination of education and experience.
Three (3) years of recent Home Health and Durable Medical Equipment (DME) experience.
In depth knowledge of hospital registration and insurance authorizations, including ICD-9, CPT, and HCPCS Codes.
Prior experience with EPIC, IDX , PCIS, and MS Office (Word, Excel, Outlook, PowerPoint), with demonstrated skill working between multiple systems during calls.
Possess excellent customer service skills.
Familiar with EPIC Cadence and WQs preferred.
PREFERRED QUALIFICATIONS
Experience working in a surgical authorization coordination unit or academic medical center.
SPECIAL CONDITIONS
Must be able to work various hours and locations based on business needs.
Employment is subject to a criminal background check and pre-employment physical.
Pay Transparency Act
Annual Full Pay Range: $57,399 - $71,347 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $27.49 - $34.17
Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).