Authorization Coordinator

3 weeks ago


Santa Monica, California, United States UCLA Health Full time
Job Summary

We are seeking a highly skilled and detail-oriented Authorization Coordinator to join our team at UCLA Health. In this role, you will be responsible for obtaining authorization for and scheduling chemotherapy, injections, and procedures within the office, at UCLA facilities, and at outside facilities.

Key Responsibilities
  • Verify insurance benefits for requested procedures and medications
  • Confirm and obtain appropriate authorization for office visits, procedures, chemotherapy, etc.
  • Perform special projects as assigned
Requirements
  • Working knowledge of insurance authorization and verification process for major medical insurance plans
  • Typing skills to prepare forms and correspondence with speed and accuracy
  • Possesses strong customer service skills to promote pleasant and effective interactions with patients, staff, and physicians
  • Knowledge of billing and diagnosis codes and medical office procedures
  • Ability to set priorities and complete assignments in a timely manner under minimal supervision
  • Working knowledge of medical terminology
  • Advanced organizational skills to ensure a workable, efficient workspace and accomplish established objectives
  • Skill in adapting to and implementing frequently changing procedures
  • Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, or other sponsoring agencies
  • Skill in analyzing information, problems, situations, practices, and procedures to recognize alternatives and provide solutions
Preferred Qualifications
  • Experience with varied computer software and hardware including word processing, knowledge of Microsoft Word, Excel, Outlook, the internet and with an EMR system
  • General knowledge of oncology procedures and terminology
  • Working knowledge of third party payor verification terminology to determine benefit eligibility and interpretation of coverage
  • Knowledge of patient assistance programs
About UCLA Health

UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person's unique achievements and experiences to further set us apart.



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