Office Visit Authorization Coordinator BilingualFounded 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 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 recordsRequirements:High school graduate or GED1-2 years of relevant experience preferredComputer skills requiredBilingual in Spanish and EnglishPay Transparency for hourly teammates$21 - $22.25 USD