Procedure Authorization Coordinator - Cerritos, United States - The Oncology Institute of Hope and Innovation
Description
Founded in 2007, The Oncology Institute of Hope and Innovation (TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting.
TOI is dedicated to offering cutting edge, evidence-based cancer care to a population of more than 1.7 million patients including clinical trials, stem cell transplants, transfusions, and other care delivery models traditionally associated with the most advanced care delivery organizations.
With 100+ employed clinicians and more than 800 teammates in 60+ clinic locations and growing. TOI is changing oncology for the better.Job Duties:
Coordinate with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for all Visits and Exams Scheduled including Blood Transfusions.
Compile clinical documentation for prior authorizations (ex:
progress notes, labs, diagnoses codes, previously tried therapies, doctor visits). This position is full-time, Monday-Friday, in our Cerritos, California Headquarters.
SchedulingReview authorization queue for applicable ordersVerify and comply with payer contractual authorization requirementsSubmit authorization request timely and efficiently, ensuring proper documentation is included for reviewUtilize website portal, and electronic options to submit authorization requestsWork with management to identify payer trends or potential issuesDemonstrate exceptional customer service skills in the performance of work assignments and dutiesPerform special projects or other duties as assignedMaintains confidentiality of patient recordsSkills & Abilities:
Self-motivation and ability to work effectively in an independent environmentArrives promptly and completes shifts as needed to meet demands of daily prior authorization and/or financial assistance requestsReliable, dependable, accountable, punctualAttention to detailAbility to learn new things quicklyPossesses a strong organizational and task prioritization skillsetProficient in Microsoft Office particularly Excel, Word, and OutlookWork well under deadlines and time pressuresResults-oriented with a positive outlook, and a clear focus on high qualityExperience/ EducationRequired:High school diploma or GEDPreferred:Experience performing prior authorizations or processing patient financial assistanceExperience using EMR systemsAdministrative experience in a physician office, clinic, hospital, or health insuranceCPT and ICD10 KnowledgeMedical TerminologyInsurance knowledge; PPO, HMO, Medi-Cal, Medicare, Workers CompensationBilingual in Spanish and EnglishThe estimate displayed represents the typical wage range of candidates hired.
Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role.
Pay Transparency for hourly teammates$18-$20 USD#J-18808-Ljbffr