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Office Visit Authorization Coordinator BilingualNewCerritos, California, United States

Posted 9 days ago

oncology institute of hope innovationCerritos (CA)
Medical Secretaries and Administrative AssistantsOffices of Physicians (except Mental Health Specialists)

SENIORITY

Senior

SALARY

$21 - $22.25

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About the role

Office Visit Authorization Coordinator Bilingual 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 700 teammates in 75+ clinic locations and growing. TOI is changing oncology for the better. With our careers, we offer a Monday-Friday schedule, no weekends, and no nights. You will enjoy a positive work culture and continued career development.
Job Duties:
  • Coordinate with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for all Office Visits. Compile clinical documentation for prior authorizations (ex: progress notes, labs, diagnoses codes, previously tried therapies, doctor visits)
  • 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
Requirements:
  • High school graduate or GED1-2 years of relevant experience preferred
  • Computer skills required
  • Bilingual in Spanish and English
  • Pay Transparency for hourly teammates$21 - $22.25 USD

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