Office Visit Authorization Coordinator BilingualNewCerritos, California, United

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 GED

1-2 years of relevant experience preferred

Computer skills required

Bilingual in Spanish and English

Pay Transparency for hourly teammates

$21 - $22.25 USD