Prior Authorization Coordinator, Chemotherapy
Company: The Oncology Institute of Hope and Innovation
Location: Cerritos
Posted on: January 24, 2023
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Job Description:
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 1.5 million patients including clinical
trials, stem cell transplants, transfusions, and other care
delivery models traditionally associated with the most advanced
care delivery organizations. With 80+ employed clinicians and more
than 600 teammates in 50 clinic locations and growing, TOI is
changing oncology for the better. For more information visit Job
Duties for Chemo Authorization Coordinator: Coordinate with
third-party insurance, clinical staff, and patients to effectively
process prior authorization requests for Chemotherapy (IV and
Oral), Hydration, IV injections. Compile clinical documentation for
prior authorizations (ex: progress notes, labs, diagnoses codes,
previously tried therapies, doctor visits). This is one of the most
important roles within the organization that allows our patients to
receive timely care and TOI's appropriate reimbursement. 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 Experience/ Education:
Self-motivation and ability to work effectively in an independent
environment Experience on the payer side reviewing chemo
authorizations submitted by the provider. Attention to detail
Ability to learn new things quickly Experience using EMR systems
Highly proficient in Microsoft Office particularly Excel, Word, and
Outlook Work well under deadlines and time pressures
Results-oriented with a focus on high quality. High school diploma
or GED Experience performing, reviewing, or generating prior
authorizations for procedure or chemotherapy specifically is
preferred Administrative experience in a physician office, clinic,
hospital, or health insurance/ payer is a plus CPT and ICD10
Knowledge Medical Terminology Insurance knowledge; PPO, HMO,
Medi-Cal, Medicare, Workers Compensation Hourly Wage Estimate:
$18.00 - $19.80 / hour The estimate displayed represents the
typical wage range of candidates hired. Factors that may be used to
determine your actual hourly rate may include your specific skills,
how many years of experience you have and comparison to other
employees already in this role.
Keywords: The Oncology Institute of Hope and Innovation, Cerritos , Prior Authorization Coordinator, Chemotherapy, Other , Cerritos, California
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