Office Visit Authorization Coordinator Bilingual

3 days ago

Cerritos, United States The Oncology Institute of Hope and Innovation Full time

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**:

- High school graduate or GED
- 1-2 years of relevant experience preferred
- Computer skills required
- Bilingual in Spanish

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