Authorizations Coordinator - Oncology, Santa Monica

In this role, you will be responsible for obtaining authorization for and scheduling chemotherapy, injections, and procedures within the office, at UCLA facilities, and at outside facilities. Provide a high level of customer service. Major duties include: verifying insurance benefits for requested procedures and medications, confirming and obtaining appropriate authorization for office visits, procedures, chemotherapy, etc., and special projects as assigned.

• Working knowledge of insurance authorization and verification process for major medical insurance plans
• Typing skills to prepare forms and correspondence with speed and accuracy
• Possesses strong customer service skills to promote pleasant and effective interactions with patients, staff, and physicians
• Knowledge of billing and diagnosis codes and medical office procedures
• Ability to set priorities and complete assignments in a timely manner under minimal supervision
• Working knowledge of medical terminology
• Advanced organizational skills to ensure a workable, efficient workspace and accomplish establishedobjectives
• Skill in adapting to and implementing frequently changing procedures
• Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, or other sponsoring agencies
• Skill in analyzing information, problems, situations, practices, and procedures to recognize alternatives and provide solutions
• Ability to problem-solve with other members of the clinic team while maintaining cooperative working relationships with administrators, physicians, peers, and the public.
• Skill in recognizing an emergency or high priority situation and taking appropriate and immediate action. Demonstrated ability to maintain composure when confronted by difficult situations and to respond professionally
• Skill in speaking clearly and using appropriate grammar
• Ability to work as part of a team, maintaining confidentiality in all assignments, and showing initiative in identifying and solving problems as they occur

Preferred:

• Experience with varied computer software and hardware including word processing, knowledge of Microsoft Word, Excel, Outlook, the internet and with an EMR system
• General knowledge of oncology procedures and terminology
• Working knowledge of third party payor verification terminology to determine benefit eligibility and interpretation of coverage
• Knowledge of patient assistance programs