Procedure Authorization Coordinator

Found in: Lensa US P 2 C2 - 2 weeks ago

Cerritos, United States Oncology Institute, Inc. Full time

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.

Scheduling

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

Skills & Abilities:

Self-motivation and ability to work effectively in an independent environment

Arrives promptly and completes shifts as needed to meet demands of daily prior authorization and/or financial assistance requests

Reliable, dependable, accountable, punctual

Attention to detail

Ability to learn new things quickly

Possesses a strong organizational and task prioritization skillset

Proficient in Microsoft Office particularly Excel, Word, and Outlook

Work well under deadlines and time pressures

Results-oriented with a positive outlook, and a clear focus on high quality

Experience/ Education

Required:

High school diploma or GED

Preferred:

Experience performing prior authorizations or processing patient financial assistance

Experience using EMR systems

Administrative experience in a physician office, clinic, hospital, or health insurance

CPT and ICD10 Knowledge

Medical Terminology

Insurance knowledge; PPO, HMO, Medi-Cal, Medicare, Workers Compensation

Bilingual in Spanish and English

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