{"id":3303525,"url":"https://alion.io/job/sutter-health-authorization-coordinator-oncology","title":"Authorization Coordinator - Oncology","company":{"id":1765513,"name":"Sutter Health","domain":"sutterhealth.org","url":"https://alion.io/company/sutterhealth","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"B","score":81,"open_postings":36,"ghost_share":0,"stale_share":0.944,"repost_share":0,"time_to_fill_p50_days":8,"computed_at":"2026-10-30T05:48:23Z"}},"role":"Administrative","role_family":"Administrative","seniority":"junior","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Oakland, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":38,"max":53,"currency":"USD","period":"hour","gross":null,"usd_annual":106000},"salary_estimate":null,"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"closed","first_seen_at":"2026-10-26T00:00:00Z","employer_posted_date":"2026-10-26","last_verified_at":"2026-10-30T11:56:29Z","board_verified":false,"closed_at":"2026-10-30T11:56:29Z","days_open":4,"trust":{"level":"not_scored","repost_count":null,"flags":[],"days_open":4},"description":"We are so glad you are interested in joining Sutter Health!\nOrganization:\nSEBMF-East Bay Medical FoundationPosition Overview:\nResponsible for insurance verification and eligibility, assessment of insurance contract status, any applicable managed care requirements, and to obtain timely prior authorization for all services scheduled within the center.Communicates with Financial Navigator to ensure patient notification of insurance eligibility or contract barriers that will impact cost burden for care and treatment.\nWorks closely with all administrative clerical staff, physicians and clinical practice staff to facilitate timely authorization requests for continuity of services.\nWorks in conjunction with managed care and coding departments to maintain accuracy in clinical and billing information.\nJob Description:\nAUTHORIZATION COORDINATION SERVICES:\nVerifies all insurance and eligibility information is accurate and update insurance record if necessary.\nResponsible for obtaining initial and subsequent Preferred provider organization (PPO) authorizations.\nInitiates referrals to managed care for Health maintenance organization (HMO) authorizations.\nFollows-up to ensure medications delivered to patient in a timely manner.\nReviews schedule a minimum of 5 days prior to ensure all treatments are authorized.\nAssociates authorization with patient’s appointment in scheduling system.\nAccurately enters all authorization requests into the EPIC system utilizing appropriate codes, treatment types and providers.\nEnters supporting data into comment box. Communicates with supervisor or charge nurse, physicians, practice staff when there are issues with authorization. ONCOLOGY:\nMay verify chemotherapy and/or non-chemotherapy are Food and Drug Administration (FDA) or compendia approved for given diagnosis as well as meets insurance specific guidelines.\nMay perform clinical trial insurance verification and authorization.\nObtains authorization.\nMay submit authorization with prescription to insurance-specific mail-order specialty pharmacies when appropriate.\nReviews all chemotherapy fee tickets in oncology Electronic Medical Record (EMR) daily or within 48-hours to verify for accuracy of International Classification of Diseases (ICD-9), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes and edits as needed. If coding errors and trends are found, is responsible for educating nurses/MDs on correct use of the codes per government payor guidelines. Sends to data processing for posting.\nFollows up in oncology EMR to ensure charges have been posted.\nProvides financial counseling for patients prior to start/during treatment regarding insurance benefits and out of pocket expenses.\nProvides estimate cost of treatment when requested by patient or staff. If an ordered treatment is considered off label per guidelines, the position is responsible for creating and explaining financial/ABN waivers to patients prior to receiving treatment.\nAssists patients who cannot afford meds, treatment or co-pays to access patient assistance programs. CONTINUOUS IMPROVEMENT:\nFollows the commitment to excellence and treats patients, families, visitors and each other with courtesy, dignity, respect and professionalism. RELATIONSHIP MANAGEMENT:\nAssists physicians and patients with appeals process when treatment is denied.\nMeets with pharmaceutical drug reps regarding supported patient assistance programs and refers patients to Social Worker for other assistance programs and community services.\nDevelops relationships with staff within and outside of the department to facilitate the authorization process and resolution of billing issues.\nCommunicates positively and effectively with physicians, staff and patients.\nWorks closely with Revenue Cycle to resolve billing issues. EDUCATION: HS Diploma or General Education Diploma (GED) TYPICAL EXPERIENCE:\n2 years of recent relevant experience.\nSKILLS AND KNOWLEDGE:\nKnowledge of chemotherapy medications, regimens, radiation treatment courses and other costly injectable medications.\nFamiliarity of medical terminology/anatomy.\nVerbal and written communication skills for regular contact with physicians, employees, patients and insurance personnel.\nBasic high school math aptitude.\nOrganizational skills.\nAbility to work with others in a flexible, cooperative manner.\nComputer data entry skills to enter patient and authorization information.\nJob Shift:\nDaysSchedule:\nFull TimeShift Hours:\n8Days of the Week:\nMonday - FridayWeekend Requirements:\nOccasionallyBenefits:\nYesUnions:\nNoPosition Status:\nNon-ExemptWeekly Hours:\n40Employee Status:\nRegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.\nPay Range is $38.20 to $53.48 / hourThe posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.","description_format":"text","description_chars":5321,"description_truncated":false,"requirements":{"experience_years_min":2,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[]},"benefits":["Equity"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Hospitals & Health Systems","Primary Care & Medical Centers"],"lifecycle":[{"event":"open","at":"2026-10-27T00:22:35Z"},{"event":"close","at":"2026-10-30T11:56:29Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 17 · green card filings: 2","filings_12m":17,"filings_prev_12m":16,"green_card_filings_12m":2,"median_offered_wage_usd":126447,"route":null,"cap_exempt":false,"checked_at":"2026-10-29T16:27:21+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)","US Department of Labor: PERM disclosure data (green cards)"],"filings_for_role_12m":0}],"liveness":null,"pay":{"stated_usd_annual":106000,"is_top_pay":true},"html_url":"https://alion.io/job/sutter-health-authorization-coordinator-oncology","json_url":"https://alion.io/job/sutter-health-authorization-coordinator-oncology.json","meta":{"generated_at":"2026-10-30T13:00:57Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":18686,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-31T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":1765513},"rest":"https://alion.io/mcp/rest/get_company?id=1765513"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fsutter-health-authorization-coordinator-oncology"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fsutter-health-authorization-coordinator-oncology"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fsutter-health-authorization-coordinator-oncology"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/sutter-health-authorization-coordinator-oncology\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fsutter-health-authorization-coordinator-oncology"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":3303525}},{"tool":"search_jobs","arguments":{"company":"sutterhealth.org","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":3303525},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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