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Authorization Specialist

4 months ago

Corpus Christi, Texas, United States Oncology Consultants Full time
"You can make a difference in the life of an oncology patient and find your career satisfaction by joining our team of healthcare professionals today."

About Oncology Consultants

Oncology Consultants has been a premier adult medical oncology & hematology practice in Houston, TX for over 40 years. Our healthcare team is committed to provide state of the art cancer treatment in a caring environment as we continue to expand our oncology services in the metropolitan region.

About the Position

The Authorization Specialist is responsible for investigating benefits and coverage to ensure services and procedures are covered by the patient's insurance company. Once coverage has been verified, the Authorization Specialist proceeds to submit a request for authorization via different channels, including insurance company portals. Once authorization has been procured by the Authorization Specialist, he/she is responsible for calculating the patient's financial responsibility and discussing said responsibility with patient before a service or procedure is rendered. Interaction with front office, clinical staff, and insurance companies on a daily basis is necessary in order to coordinate patients' insurance information and compete the authorization process

Shift Schedule:
  • Mon - Fri: 8am - 5pm
  • Mon - Fri 9am - 6pm
Benefits:
  • Insurances: Life, medical, dental, short term and long term disability
  • 401K
  • Free parking
  • PTO
  • Holidays
  • Competitive salary
  • Employee Assistance Program
  • Tuition Reimbursement
  • Pet Insurance
ESSENTIAL DUTIES AND RESPONSIBILITIES:
  • Review schedule ahead of time to see who needs authorizations
  • Look in ONCO EMR for the task list of requested authorizations
  • Review task list several times a day
  • Verify benefits and submit authorization requests according to doctors' orders
  • Talk directly with insurance company to review coverage of ordered services and procedures
  • Once authorization is back:
    • Create financial assessment
    • Find out patient out-of-pocket portion
    • Call patient and discuss their financial obligation
    • Offer financial assistance if needed by patient
    • Communicate with nursing staff once patient is released for scheduling
    • Note approval, including authorization number in the patient's chart
ADDITIONAL DUTIES AND RESPONSIBILITIES:
  • Communicate with patients and fellow employees Via Company Email clearly and timely
  • Interact professionally with patients, physicians, and fellow employees
  • Cooperate with team members to accomplish departmental goals
  • Accept and incorporate changes or new ideas into daily work.
  • Provide service in a timely and accurate manner to both patients and fellow employees.
  • Understand and adhere to policies and procedures
  • Recognize priorities and take action; make productive use of time
  • Strive to resolve problems and conflicts in order to maintain patient care flow
  • Any other activity as directed by the doctor, supervisor or administrator
REQUIREMENTS:
  • 2 or more years of experience in insurance verification/authorization
  • Oncology experience preferred.
  • High school diploma or equivalent required.

•Spanish bi-lingual preferred.

KNOWLEDGE AND SKILL REQUIREMENTS
  • Able to type at least 35 WPM
  • Knowledge of business office procedures.
  • Working experience with health insurance.
  • Ability to operate a computer and basic office equipment.
  • Ability to operate a multi-line telephone system.
  • Skill in answering a telephone in a pleasant and helpful manner.
  • Ability to read, understand and follow oral and written instructions in English.
  • Ability to establish and maintain effective working relationships with patients, physicians, and fellow employees.
  • Must be well organized and detail-oriented.
PHYSICAL DEMANDS:

Normal office environment. Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve. Ability to read and comprehend simple instructions, short correspondence, and memos in English. Ability to write simple correspondence. Occasional overtime may be required. COMMENTS: This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties,

LANGUAGE SKILLS: Ability to read and comprehend simple instructions, short correspondence, and memos in English. Ability to write simple correspondence.Occasional overtime may be required.

COMMENTS:

This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time.

Oncology Consultants is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Medical Center | Memorial City | Sugar Land | Katy | Willowbrook | Southwest Northwest | League City | Pearland | Precision | Pasadena | Cypress | Corpus Christi

Apply today. Our short application process takes less than 5 minutes with your phone, tablet or computer.

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