Remote Managed Care Coordinator: Prior Auth & Billing

American Oncology Network, Inc.; Honolulu (HI); Remote; USD 25,000 - 34,000; Full time

Job summary

American Oncology Network, Inc. is seeking a Managed Care Coordinator in Hawaii to act as the liaison between Financial Counseling and UM/ Intake, coordinating benefits, authorizations and referrals.

You will streamline communications for patient services and ensure insurance data is current in EMR and billing systems. The role requires at least two years in healthcare, strong communication skills, and proficiency with MS Office and EMR/billing software.

Qualifications

• A minimum of two-years prior experience in the healthcare field, preferably in a clinical or business office setting.
• Prior medical terminology experience.
• Prior medical insurance verification.
• Prior verifying pre-certification and/or prior authorization with medical insurance.
• Excellent proven verbal and communication skills.
• Knowledge of medical terminology, ICD9/ICD10 and CPT codes.
• Ability to calculate and collect patients’ responsibility and insurance co-pay/coinsurance.

Responsibilities

• Coordinate pre-certification and prior authorization with insurers, seeking support as needed.
• Review patient schedules and treatment plans to evaluate coverage per payor guidelines.
• Communicate openly with Financial Counselor, Intake, UM teams and clinic staff throughout the day.
• Maintain EMR and billing data, ensure compliance with policies and procedures.

Skills

Healthcare experience

Communication skills

Time management

Remote work ability

Education

High school Diploma or GED

Tools

MS Office

EMR systems

Billing software

Job description

American Oncology Network, Inc. is seeking a Managed Care Coordinator in Hawaii to act as the liaison between Financial Counseling and UM/ Intake, coordinating benefits, authorizations and referrals.

You will streamline communications for patient services and ensure insurance data is current in EMR and billing systems. The role requires at least two years in healthcare, strong communication skills, and proficiency with MS Office and EMR/billing software.