Insurance Authorization & Pre-Registration Specialist

City of Hope; California; Hybrid; USD 52.000 - 68.000; Vollzeit

Zusammenfassung

City of Hope is seeking a Financial Clearance Specialist in California to pre-register patients, verify insurance information, and obtain authorizations for complex managed care cases. You will interact with patients, payors, and care teams to ensure a smooth patient experience.

The role emphasizes independent judgement, multi-tasking across care areas, and effective communication with physicians and office staff to secure timely authorizations and maintain high-quality service.

Qualifikationen

• Three years related healthcare pre-registration/referral experience required.
• Medical terminology and electronic medical record experience required.
• EPIC EMR experience preferred.

Aufgaben

• Identify insurance companies requiring prior authorization and obtain authorization for procedures and testing.
• Coordinate authorizations for providers' services for managed care patients and communicate with payors.
• Perform pre-registration activities including demographic, insurance verification, and service eligibility for scheduled visits.

Kenntnisse

Medical terminology

EMR experience

Healthcare pre-registration experience

Ausbildung

School Diploma or GED

Tools

EPIC EMR

Jobbeschreibung

City of Hope is seeking a Financial Clearance Specialist in California to pre-register patients, verify insurance information, and obtain authorizations for complex managed care cases. You will interact with patients, payors, and care teams to ensure a smooth patient experience.

The role emphasizes independent judgement, multi-tasking across care areas, and effective communication with physicians and office staff to secure timely authorizations and maintain high-quality service.