Insurance Authorization Coordinator

2 weeks ago

Corpus Christi, Texas, United States Oncology Consultants Full time
Authorization Specialist

Employment Type: Administrative

Job Type: Full Time

Join our dedicated team at Oncology Consultants, where you can significantly impact the lives of oncology patients while achieving your professional aspirations.

About Oncology Consultants

With over 40 years of excellence in adult medical oncology and hematology, Oncology Consultants is a leading practice in the Houston area. Our team is devoted to delivering advanced cancer treatment in a compassionate setting as we expand our services across the metropolitan region.

Position Overview

The Authorization Specialist plays a crucial role in verifying insurance benefits and coverage to ensure that medical services and procedures are authorized by the patient's insurance provider. After confirming coverage, the specialist submits authorization requests through various channels, including insurance portals. Upon obtaining authorization, the specialist calculates the patient's financial responsibility and communicates this information prior to the delivery of services or procedures. Daily interactions with front office staff, clinical teams, and insurance representatives are essential for coordinating patient insurance details and completing the authorization process.

Work Schedule:
  • Monday - Friday: 8 AM - 5 PM
  • Monday - Friday: 9 AM - 6 PM
Benefits Offered:
  • Comprehensive insurance plans: Life, medical, dental, short-term and long-term disability
  • 401K retirement plan
  • Complimentary parking
  • Paid time off (PTO)
  • Holidays
  • Competitive salary
  • Employee Assistance Program
  • Pet insurance
  • Floating holidays
Key Responsibilities:
  • Proactively review schedules to identify patients requiring authorizations
  • Utilize ONCO EMR to manage the task list for requested authorizations
  • Verify insurance benefits and submit authorization requests as per physician directives
  • Engage directly with insurance companies to confirm coverage for ordered services
  • Upon receiving authorization:
    • Conduct financial assessments
    • Determine the patient's out-of-pocket expenses
    • Communicate financial obligations to patients
    • Provide financial assistance options if necessary
    • Coordinate with nursing staff for scheduling post-authorization
    • Document authorization details, including approval numbers, in patient records
Additional Responsibilities:
  • Maintain clear and timely communication with patients and colleagues via company email
  • Exhibit professionalism in interactions with patients, physicians, and team members
  • Collaborate with team members to achieve departmental objectives
  • Adapt to changes and new ideas in daily operations
  • Deliver services promptly and accurately to patients and staff
  • Comply with established policies and procedures
  • Prioritize tasks effectively and utilize time productively
  • Resolve conflicts to ensure smooth patient care flow
  • Perform other duties as assigned by supervisors or management
Qualifications:
  • Minimum of 2 years of experience in insurance verification and authorization
  • Experience in oncology is preferred
  • High school diploma or equivalent is required

Language Skills: Proficiency in reading and understanding simple instructions and correspondence in English is essential. The ability to write clear correspondence is also required.

Work Environment: This position is based in a standard office setting, requiring both sitting and standing. Manual dexterity is necessary for operating office equipment and computers. This job description outlines the essential functions and requirements for the role but is not exhaustive of all duties.

Oncology Consultants is committed to maintaining a drug-free workplace. Candidates must successfully pass a drug test prior to employment.

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