<p>Overview</p> <p>Coordinator-Authorization</p> <p>Job Code: 22772</p> <p>FLSA Status</p> <p>Job Family: CASE MGMT</p> <p>Job Description Title: Coordinator-Authorization</p> <p>Job Summary</p> <p>The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of utilization review and supporting Baptist's reimbursement strategy. Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services using evidence based criteria. Areas of work include payer notification, authorization management, denial management, escalations, and communication and coordination between payer, business office and UR Team</p> <p>Job Responsibilities</p> <p>Completes payer notification</p> <p>Communicates incorrect payer with patient access</p> <p>Communicate with Utilization Review Nurse</p> <p>Works assigned queues in the electronic medical record</p> <p>Documents next review dates in the electronic medical record</p> <p>Documents and updates authorized or denied information on auth/cert screen in the electronic medical record</p> <p>Schedules peer to peer when indicated</p> <p>Completes assigned goals</p> <p>Specifications</p> <p>Experience</p> <p>Description</p> <p>Minimum Required</p> <p>Preferred/Desired</p> <p>2 years' clerical/support experience in a medical environment</p> <p>Previous authorization coordinator experience</p> <p>Education</p> <p>Description</p> <p>Minimum Required</p> <p>Preferred/Desired</p> <p>High School Degree or equivalent</p> <p>Bachelor's degree</p> <p>Training</p> <p>Description</p> <p>Minimum Required</p> <p>Preferred/Desired</p> <p>Special Skills</p> <p>Description</p> <p>Minimum Required</p> <p>Preferred/Desired</p> <p>Solid intermediate computer skills, Microsoft Office Suite; Knowledge of medical terminology and insurance; Accurate data entry</p> <p>Licensure</p> <p>Description</p> <p>Minimum Required</p> <p>Preferred/Desired</p> <p>Reporting RelationshipsDoes this position formally supervise employees? If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.</p> <p>Reporting Relationships</p> <p>No</p> <p>Work Environment</p> <p>Functional Demands</p> <p>Label</p> <p>Short Description</p> <p>Full Description</p> <p>Sedentary</p> <p>Very light energy level</p> <p>Lift 10lbs. box overhead. Lift and carry 15lbs. Push/pull 20lbs. cart</p> <p>Light</p> <p>Moderate energy level</p> <p>Lift and carry 25-35lbs. Push/pull 50-100lbs. (ie. empty bed, stretcher)</p> <p>Medium</p> <p>High energy level</p> <p>Lift and carry 40-50lbs. Push/pull +/- 150-200lbs. (Patient on bed, stretcher) Lateral transfer 150-200lbs. (ie. Patient)</p> <p>Heavy</p> <p>Very high energy level</p> <p>Lift over 50lbs. Carry 80lbs. a distance of 30 feet. Push/pull > 200lbs. (ie. Patient on bed, stretcher). Lateral transfer or max assist sit to stand transfer.</p> <p>Functional Demands Rating</p> <p>Sedentary</p> <p>Activity Level Throughout Workday</p> <p>Physical Activity Requirements - Sitting</p> <p>Occasional</p> <p>Physical Activity Requirements - Standing</p> <p>Occasional</p> <p>Physical Activity Requirements - Walking</p> <p>Occasional</p> <p>Physical Activity Requirements - Climbing (e.g., stairs or ladders)</p> <p>Occasional</p> <p>Physical Activity Requirements - Carry objects</p> <p>Occasional</p> <p>Physical Activity Requirements - Push/Pull</p> <p>Occasional</p> <p>Physical Activity Requirements - Twisting</p> <p>Occasional</p> <p>Physical Activity Requirements - Bending</p> <p>Occasional</p> <p>Physical Activity Requirements - Reaching Forward</p> <p>Occasional</p> <p>Physical Activity Requirements - Reaching Overhead</p> <p>Occasional</p> <p>Physical Activity Requirements - Squat/Kneel/Crawl</p> <p>Occasional</p> <p>Physical Activity Requirements - Wrist position deviation</p> <p>Occasional</p> <p>Physical Activity Requirements - Pinching/fine motor activities</p> <p>Occasional</p> <p>Physical Activity Requirements - Keyboard use/repetitive motion</p> <p>Occasional</p> <p>Physical Activity Requirements - Taste or smell</p> <p>Physical Activity Requirements - Talk or hear</p> <p>Continuous</p> <p>Sensory Requirements</p> <p>Color Discrimination</p> <p>Near Vision</p> <p>Far Vision</p> <p>Depth Perception</p> <p>Hearing</p> <p>Yes</p> <p>Accurate</p> <p>Accurate</p> <p>Minimal</p> <p>Minimal</p> <p>Environmental Requirements - Blood-Borne Pathogens</p> <p>Anticipated</p> <p>Environmental Requirements - Chemical</p> <p>Anticipated</p> <p>Environmental Requirements - Airborne Communicable Diseases</p> <p>Anticipated</p> <p>Environmental Requirements - Extreme Temperatures</p> <p>Anticipated</p> <p>Environmental Requirements - Radiation</p> <p>Anticipated</p> <p>Environmental Requirements - Uneven Surfaces or Elevations</p> <p>Anticipated</p> <p>Environmental Requirements - Extreme Noise Levels</p> <p>Anticipated</p> <p>Environmental Requirements - Dust/Particular Matter</p> <p>Anticipated</p> <p>Environmental Requirements - Other</p>