Oncology Authorization Supervisor

UCLA Health; Los Angeles (CA); On-site; USD 45,000 - 89,000; Full time

Job summary

UCLA Health seeks a skilled Authorization Specialist to develop and implement training procedures for clinical authorizations and to ensure accurate billing for cancer therapies. You will work with the clinical research unit to secure proper authorization ensuring timely reimbursement.

You will also coordinate with the professional billing office on denied claims to collect and submit necessary documentation for appeals. Strong knowledge of CPT/ICD-10 and insurer verification is essential.

Qualifications

• Knowledge of oncology CPT and ICD-10 codes; general oncology terminology.
• Working knowledge of insurance authorizations and verification for major plans.
• Healthcare research and analysis skills to support drug coverage and reimbursement.
• Experience with Microsoft Word, Excel, Outlook; CareConnect and billing systems.
• Strong customer service skills for interactions with patients, staff and physicians.
• Ability to work in a team, maintain confidentiality and solve problems with initiative.
• Two years of supervisory experience.

Responsibilities

• Develop and implement authorizations training procedures and evaluation methods.
• Collaborate with the clinical research unit to ensure cancer therapies are accurately authorized for reimbursement.
• Liaise with the professional billing office to process appeals when claims are denied.

Skills

Oncology coding

Authorization knowledge

Healthcare analytics

Customer service

Team collaboration

Supervisory experience

Problem solving

Tools

CareConnect

Billing systems

Microsoft Word

Microsoft Excel

Outlook

Internet

Job description

UCLA Health seeks a skilled Authorization Specialist to develop and implement training procedures for clinical authorizations and to ensure accurate billing for cancer therapies. You will work with the clinical research unit to secure proper authorization ensuring timely reimbursement.

You will also coordinate with the professional billing office on denied claims to collect and submit necessary documentation for appeals. Strong knowledge of CPT/ICD-10 and insurer verification is essential.