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Procedure Authorization Coordinator - Cerritos, United States - Oncology Institute, Inc.
Description
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.
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
Skills & Abilities:
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
Experience/ Education
Required:
High school diploma or GED
Preferred:
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
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