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