Office Visit Authorization Coordinator Bilingual - Cerritos, United States - The Oncology Institute of Hope and Innovation

The Oncology Institute of Hope and Innovation

Verified Company

Cerritos, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

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.

With our careers, we offer a Monday-Friday Schedule, No Weekends, and No nights.

You will enjoy Employee Discounts, Referral Bonuses, 7 Paid Holidays.

You will enjoy a positive work culture and continued career development.

Job Duties:

Coordinate with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for all Office Visits.

Compile clinical documentation for prior authorizations (ex:
progress notes, labs, diagnoses codes, previously tried therapies, doctor visits)

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

Requirements: