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Authorization Coordinator
2 months ago
The University Physicians' Association is seeking a dedicated Prior Authorization Specialist to join our esteemed team at University Cancer Specialists, a prominent medical oncology group affiliated with a leading medical center.
Role Summary: This role is pivotal in the prior authorization department, focusing on securing necessary authorizations for imaging and medications, managing outpatient imaging appointments, and facilitating patient scheduling.
Work Schedule: Full-time; Monday – Friday; options of 7:00 AM – 4:00 PM or 8:00 AM – 5:00 PM.
Key Competencies:
- Exceptional verbal and written communication skills.
- Strong organizational skills and self-motivation.
- Proficient in customer relations.
- Ability to exercise sound judgment and problem-solving skills.
- Capability to work collaboratively in a team and independently.
- Proficient in computer usage and relevant software applications.
- Prior experience with insurance processes and authorizations is essential.
- Experience in oncology settings is advantageous.
- Familiarity with Cerner systems is a plus.
Core Responsibilities:
- Initiate, monitor, and obtain necessary authorizations prior to the delivery of services.
- Engage with insurance providers to confirm patient eligibility, benefits, and procedural requirements.
- Exhibit a comprehensive understanding of medical terminology and standard medical office practices, including compliance with HIPAA regulations.
- Relay any updates or trends regarding insurance to the team and management.
- Maintain productivity levels that meet departmental standards.
- Document all communications in accordance with established protocols.
- Perform additional duties as required.
Comprehensive Benefits Package: Includes paid time off, sick leave, medical, dental, vision coverage, short-term and long-term disability, life insurance, a 401k plan with company matching and immediate vesting, critical illness coverage, and more.
Qualifications: Previous experience in a healthcare office environment is preferred.
Licensure/Certification: None required.