Authorizations Team Lead - Oncology, Santa Monica

University of California - Los Angeles Health; Santa Monica (CA); On-site; USD 73,000 - 111,000; Full time

Job summary

University of California - Los Angeles Health is seeking a Lead Authorizations Coordinator for FPG/Hematology-Oncology. You will train community practice authorization coordinators, verify benefits, and secure required authorizations for visits, procedures, and chemotherapy across UCLA facilities and affiliates.

In this role you will train new staff, serve as a resource to coordinators and managers, and manage daily authorization tasks with a focus on customer service and compliance.

Qualifications

• In-depth knowledge of insurance authorization and verification for major medical plans.
• Knowledge of oncology CPT and ICD-10 codes and medical office procedures.
• Experience with word processing, MS Word, Excel, Outlook, internet, and EMR systems.
• Typing skills to prepare forms and correspondence with speed and accuracy.
• Strong customer service skills to interact with patients, staff, and physicians.
• Knowledge of billing and medical office procedures.
• Ability to set priorities and complete tasks with minimal supervision.
• Advanced organizational skills for an efficient workspace.
• Ability to adapt to frequently changing procedures.
• Familiarity with third party payor verification terminology for benefit eligibility and coverage interpretation.
• Knowledge of State and Federal programs for reimbursement (Medicare/Medi-Cal/others).
• Skill in analyzing information and solving problems.
• Ability to collaborate with clinic team and maintain professionalism under pressure.
• Ability to recognize emergencies and take appropriate action.
• Clear spoken and written communication.
• Ability to work in a team while maintaining confidentiality and initiative.

Responsibilities

• Train new and existing clinic schedulers in Hematology/Oncology community practices.
• Verify insurance benefits for procedures and medications and obtain required authorizations.
• Handle daily tasks of authorization coordination and scheduling chemotherapy, injections, and procedures.
• Provide high level of customer service to patients and staff.
• Support special projects as assigned.

Skills

Insurance authorization knowledge

Oncology CPT/ICD-10 knowledge

EMR system experience

Microsoft Word

Excel

Outlook

Typing speed

Customer service skills

Billing procedures knowledge

Prioritization skills

Organizational skills

Adaptability to procedures

Payor verification terminology

State/Federal reimbursement knowledge

Analytical/problem-solving skills

Team collaboration

Emergency/high-priority recognition

Clear communication

Tools

EMR system

Microsoft Word

Excel

Outlook

Job description

Description

In this role, you will serve as the Lead Authorizations Coordinator for FPG/Hematology-Oncology. You will be expected to use in-depth knowledge of Hematology/Oncology standard of care and research authorizations clearance to train all community practice authorization coordinators. You will work closely with the Manager and Supervisor to ensure appropriate initial training is provided to all new hires as well as provide ongoing training to existing staff members. Incumbent will serve as a resource for all authorization coordinators and community practice managers. You will possess knowledge of verifying insurance benefits for requested procedures and medications, confirming and obtaining appropriate authorization for office visits, procedures, and chemotherapy. In addition to the lead duties, you will be expected to handle the daily tasks of an Authorizations coordination 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: train new and existing clinic schedulers in all Hematology/Oncology community practices. verifying insurance benefits for requested procedures and medications, confirming and obtaining appropriate authorization for office visits, procedures, chemotherapy, etc., and special projects as assigned.

Salary range: $35.28/hr - $53.48/hr

Qualifications

Required

• In-depth working knowledge of insurance authorization and verification process for major medical insurance plans.
• Knowledge of oncology CPT and ICD-10 codes and medical office procedures. Working knowledge of oncology procedures and terminology.
• Experience with varied computer software and hardware including word processing, knowledge of Microsoft Word, Excel, Outlook, the internet and with an EMR system.
• 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 medical office procedures.
• Ability to set priorities and complete assignments in a timely manner under minimal supervision.
• Advanced organizational skills to ensure a workable, efficient workspace and accomplish established objectives.
• Skill in adapting to and implementing frequently changing procedures.
• Working knowledge of third party payor verification terminology to determine benefit eligibility and interpretation of coverage.
• 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

• Knowledge of patient assistance programs.