Oncology Authorization Lead & Training Coach

University of California - Los Angeles Health; Santa Monica (CA); Vor Ort; USD 73.000 - 111.000; Vollzeit

Zusammenfassung

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.

Qualifikationen

• 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.

Aufgaben

• 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.

Kenntnisse

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

Jobbeschreibung

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.