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
