Oncology Authorization & Reimbursement Supervisor

University of California; Los Angeles (CA); On-site; USD 45,000 - 89,000; Full time

Job summary

University of California seeks an experienced professional to develop and implement authorizations training procedures and evaluation methods. You will collaborate with the clinical research unit to ensure that research patient treatments are properly authorized for reimbursement.

The role also involves liaising with the professional billing office to expedite documentation for appeal processing and to support accurate claims denial resolutions.

Qualifications

• Knowledge of oncology CPT and ICD-10 codes and medical office procedures.
• Working knowledge of insurance authorizations and verification process for major medical insurance plans.
• Healthcare research and analysis skills sufficient to support drug coverage and reimbursement.
• Possess strong customer service skills to promote pleasant interactions with patients, staff and physicians.
• Skills in analyzing information, problems, situations, practices and procedures to provide solutions while maintaining cooperation with administrators, physicians, peers and the public.
• Ability to work as part of a team and maintain confidentiality in all assignments.
• Advanced organizational skills to accomplish objectives.
• Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, or other payers.
• Ability to set priorities and complete assignments in a timely manner under supervision.

Responsibilities

• Develop and implement authorizations training procedures and evaluation methods.
• Interact with the clinical research unit to ensure active research patient treatments are accurately authorized for reimbursement.
• Liaise with the professional billing office to ensure timely submission of requested clinical documentation to process appeals.

Skills

Customer service

Interpersonal skills

Prioritization

Teamwork

Communication

Problem solving

Confidentiality

Organizational skills

Tools

Microsoft Word

Excel

Outlook

CareConnect

Billing systems

Internet

Job description

University of California seeks an experienced professional to develop and implement authorizations training procedures and evaluation methods. You will collaborate with the clinical research unit to ensure that research patient treatments are properly authorized for reimbursement.

The role also involves liaising with the professional billing office to expedite documentation for appeal processing and to support accurate claims denial resolutions.