- Scheduling
- Review authorization queue for applicable orders
- Verify and comply with payer contractual authorization requirements
- Submit authorization request timely and efficiently, ensuring proper documentation is included for review
- Utilize website portal, and electronic options to submit authorization requests
- Work with management to identify payer trends or potential issues
- Demonstrate exceptional customer service skills in the performance of work assignments and duties
- Perform special projects or other duties as assigned
- Maintains confidentiality of patient records
- Self-motivation and ability to work effectively in an independent environment
- Arrives promptly and completes shifts as needed to meet demands of daily prior authorization and/or financial assistance requests
- Reliable, dependable, accountable, punctual
- Attention to detail
- Ability to learn new things quickly
- Possesses a strong organizational and task prioritization skillset
- Proficient in Microsoft Office particularly Excel, Word, and Outlook
- Work well under deadlines and time pressures
- Results-oriented with a positive outlook, and a clear focus on high quality
- High school diploma or GED
- Experience performing prior authorizations or processing patient financial assistance
- Experience using EMR systems
- Administrative experience in a physician office, clinic, hospital, or health insurance
- CPT and ICD10 Knowledge
- Medical Terminology
- Insurance knowledge; PPO, HMO, Medi-Cal, Medicare, Workers Compensation
- Bilingual in Spanish and English
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.
Required:
Pay Transparency for hourly teammates
$18-$20 USD