Managed Care Liaison & Authorization Specialist

American Oncology Network; Honolulu (HI); On-site; USD 25,000 - 35,000; Full time

Job summary

Hawaii Cancer Care in Honolulu is seeking a Managed Care Coordinator to bridge the Financial Counselor and Utilization Management teams, coordinating benefit reviews, authorizations and referrals while ensuring patient insurance data is up to date in the EMR and billing software.

The role requires at least two years in healthcare, strong communication, knowledge of medical terminology and payer guidelines, and the ability to work overtime and across multiple sites.

Qualifications

• Minimum of two years prior experience in healthcare, preferably in a clinical or business office setting.
• Familiarity with medical terminology, ICD9/ICD10 and CPT codes.
• Ability to calculate and collect patient financial responsibility.
• Excellent verbal and written communication skills.
• Strong organizational and time-management abilities.

Responsibilities

• Monitor and coordinate pre-certification and prior authorization with insurance companies.
• Review patient schedules for upcoming visits to evaluate coverage per payor guidelines.
• Check treatment plans against active insurance benefits and communicate exceptions to the team.
• Identify new treatment orders and ensure coverage compatibility.
• Communicate with Financial Counselor, Intake, UM teams, and other staff daily.
• Collaborate with outside entities to complete forms promptly.
• Ensure compliance with federal and state regulations governing patient care, billing and collections.
• May work overtime with sufficient notice.
• Maintain neat records and safe equipment handling.
• Adhere to revenue cycle policies and procedures.
• Perform other duties as assigned.

Skills

Communication skills

Time management

Problem solving

Interpersonal effectiveness

Remote work capability

Education

High school Diploma or GED

Tools

Medical terminology

Job description

Hawaii Cancer Care in Honolulu is seeking a Managed Care Coordinator to bridge the Financial Counselor and Utilization Management teams, coordinating benefit reviews, authorizations and referrals while ensuring patient insurance data is up to date in the EMR and billing software.

The role requires at least two years in healthcare, strong communication, knowledge of medical terminology and payer guidelines, and the ability to work overtime and across multiple sites.