Procedure 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.

Job Duties: 

Coordinate with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for all Visits and Exams Scheduled including Blood Transfusions. Compile clinical documentation for prior authorizations (ex: progress notes, labs, diagnoses codes, previously tried therapies, doctor visits). This position is full-time, Monday-Friday, in our Plantation, Florida clinic.

This position has strong potential to advance to a lead role in a short time, so it is ideal for someone with leadership experience, and/or seeking career advancement!

• Scheduling 
• 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 

Skills & Abilities:

• Self-motivation and ability to work effectively in an independent environment 
• Arrives promptly and completes shifts as needed to meet demands of daily prior authorization and/or financial assistance requests 
• Reliable, dependable, accountable, punctual 
• Attention to detail
• Ability to learn new things quickly
• Possesses a strong organizational and task prioritization skillset
• Proficient in Microsoft Office particularly Excel, Word, and Outlook
• Work well under deadlines and time pressures
• Results-oriented with a positive outlook, and a clear focus on high quality 

Experience/ Education

Required:

• High school diploma or GED
• Bilingual in Spanish and English

Preferred:

• Experience performing prior authorizations or processing patient financial assistance
• Experience using EMR systems
• Administrative experience in a physician office, clinic, hospital, or health insurance
• CPT and ICD10 Knowledge
• Medical Terminology 
• Insurance knowledge; PPO, HMO, Medi-Cal, Medicare, Workers Compensation