Procedure Authorization Coordinator

3 weeks 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.Job Duties:Coordinate with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for all Visits and Exams Scheduled including Blood Transfusions. Compile clinical documentation for prior authorizations (ex: progress notes, labs, diagnoses codes, previously tried therapies, doctor visits). This position is full-time, Monday-Friday, in our Cerritos, California Headquarters.SchedulingReview authorization queue for applicable ordersVerify and comply with payer contractual authorization requirementsSubmit authorization request timely and efficiently, ensuring proper documentation is included for reviewUtilize website portal, and electronic options to submit authorization requestsWork with management to identify payer trends or potential issuesDemonstrate exceptional customer service skills in the performance of work assignments and dutiesPerform special projects or other duties as assignedMaintains confidentiality of patient recordsSkills & Abilities:Self-motivation and ability to work effectively in an independent environmentArrives promptly and completes shifts as needed to meet demands of daily prior authorization and/or financial assistance requestsReliable, dependable, accountable, punctualAttention to detailAbility to learn new things quicklyPossesses a strong organizational and task prioritization skillsetProficient in Microsoft Office particularly Excel, Word, and OutlookWork well under deadlines and time pressuresResults-oriented with a positive outlook, and a clear focus on high qualityExperience/ EducationRequired:High school diploma or GEDPreferred:Experience performing prior authorizations or processing patient financial assistanceExperience using EMR systemsAdministrative experience in a physician office, clinic, hospital, or health insuranceCPT and ICD10 KnowledgeMedical TerminologyInsurance knowledge; PPO, HMO, Medi-Cal, Medicare, Workers CompensationBilingual in Spanish and EnglishThe estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role.Pay Transparency for hourly teammates$18-$20 USD#J-18808-Ljbffr

by Jobble



  • 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,...


  • Cerritos, United States Medix Full time

    Responsibilities: Maintains research practices using Good Clinical Practice (GCP) guidelines. Maintains strict patient confidentiality according to HIPAA regulations and applicable law. Participates in required training and education programs. Handle confidential material with judgement and discretion E-filing and sorting from DocuSign to Trial folders on...


  • Cerritos, United States Oncology Institute, Inc. Full time

    Regulatory Coordinator This is a fantastic opportunity to join a team of quality-oriented professionals focused on Clinical Research in Cerritos, CA. Responsibilities: Maintains research practices using Good Clinical Practice (GCP) guidelines. M aintains strict patient confidentiality according to HIPAA regulations and applicable law. Participates in...


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

    Job DescriptionJob DescriptionFounded 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...


  • 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,...


  • Cerritos, United States OEC Group Full time

    We offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth. Established in 1981, Orient Express Container (OEC) Group is one of the top freight forwarders in the transportation industry. We provide freight transportation, logistics, and information services to over 50,000 customers through a network of global...


  • Cerritos, United States OEC Group Full time

    We offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth. Established in 1981, Orient Express Container (OEC) Group is one of the top freight forwarders in the transportation industry. We provide freight transportation, logistics, and information services to over 50,000 customers through a network of global...


  • Cerritos, United States OEC Group Full time

    We offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth. Established in 1981, Orient Express Container (OEC) Group is one of the top freight forwarders in the transportation industry. We provide freight transportation, logistics, and information services to over 50,000 customers through a network of...


  • Cerritos, United States Oncology Institute, Inc. Full time

    Senior Regulatory Coordinator Responsibilities: Serve as the Regulatory Manager in the absence of the acting manager Maintains research practices using Good Clinical Practice (GCP) guidelines. Assists with auditing trials (Review and Preparation) Reviews and Submits Protocol Deviations and SAEs to IRB. Works directly with monitor and completes requests....


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

    Job DescriptionJob DescriptionFounded 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...


  • Cerritos, United States Bergen Logistics Full time

    Job DescriptionJob DescriptionOur company is experiencing rapid growth, and we are seeking a Loss Prevention Officer is going to monitor, authorize entrance and departure of employees and visitors. Maintain security, safety of premises and protect property.RequirementsMonitor and authorize entrance and departure of employees, visitors, and other persons to...


  • Cerritos, United States QN LABS Full time

    **Warehouse Supervisor/Manager (Full Time)** ABOUT Quality Nutrition Labs is immediately hiring an experienced full time warehouse manager in Cerritos, CA. The warehouse supervisor/manager is responsible for directing and overseeing staff and all warehouse operations in order to efficiently and effectively manage inventory for production, shipping, and...

  • Quality Assurance Rn

    4 weeks ago


    Cerritos, United States Prudential Hospice Care Full time

    **Prudential Hospice** is seeking **Quality Assurance RN** to become a part of a great team. We provide Hospice professionals for the local area including Hawthorne, San Pedro, Torrance, Rancho Palos Verde, Lomita, Redondo Beach, Harbor City, Carson. Our Hospice jobs are for individuals who are truly committed to providing compassionate care to senior adults...


  • Cerritos, United States Allstate Floral Inc. Full time

    **Responsibilities**: - Coordinate and schedule meetings using Outlook calendar in an efficient manner. - Organize and coordinate company events and meetings, both big and small. - Host key customers at the company with a high sense of hospitality, including preparing the room, offering coffee, beverages, snacks, and ordering appropriate meals. Know when...


  • Cerritos, United States Dr. J SkinClinic Full time

    **Basic Purpose** Human Resources Manager oversees the day -to-day operations of the Human Resource department, Accounting and office staff. The Human Resources Manager is responsible for overseeing the responsibilities of; employee relations, compensation, leave of absence, time off forms, timecards, and employment vacancies. **ESSENTIAL DUTIES AND...


  • Cerritos, United States Partners Personnel Full time

    We are seeking a skilled Mandarin License Customs Brokerage to join our team in Cerritos, CA. The ideal candidate will be responsible for managing customs documentation and ensuring compliance with regulations for international shipments. Compensation $70K to $77K annually. Duties: - Handle customs clearance processes for import and export shipments -...


  • Cerritos, California, United States Bergen Logistics Full time

    Our company is experiencing rapid growth, and we are seeking a Loss Prevention Officer is going to monitor, authorize entrance and departure of employees and visitors. Maintain security, safety of premises and protect property. Requirements Monitor and authorize entrance and departure of employees, visitors, and other persons to guard against theft and...


  • Cerritos, United States SPECIAL SERVICE FOR GROUPS Full time

    Job DescriptionJob DescriptionThis position qualifies for a one-time $2,000 signing bonus, paid in two installments upon commencement of the position and after 6 months of employment (subject to change).Hiring for full time and part time positions in Cerritos and LA. Minimum Qualifications-Knowledge, Skills and Abilities RequiredCertified for Substance Abuse...


  • Cerritos, United States Kleinfelder Inc Full time

    **Job Description**: **Take Your Construction Career to the Next Level!** Are you ready to be challenged, make a difference, and experience professional growth in your career? Kleinfelder's Construction Services team is looking for you! From construction management and observation/inspection services to laboratory testing and materials and forensic...

  • Warehouse Associate

    4 weeks ago


    Cerritos, United States QN LABS Full time

    **Warehouse Associate (Full Time)** ABOUT Quality Nutrition Labs is immediately hiring a full-time warehouse associate in Cerritos, CA. The warehouse associate is responsible for doing daily tasks including packing, wrapping, picking, recycling, tagging, cleaning, shipping, receiving, and other tasks to maintain the warehouse. MAJOR RESPONSIBILITIES: *...