Utilization Management Coordinator II

Florida Cancer Specialists & Research Institute; Town of Florida (NY); Hybrid; USD 35,000 - 55,000; Full time

Benefits offered by this job

Medical and Prescription Coverage

Vision & Dental Insurance

Paid Time Off (PTO)

Tuition Reimbursement

401(k) Retirement Plan

Life Insurance

Disability Insurance

Legal Insurance

Job summary

Florida Cancer Specialists & Research Institute is seeking an Authorization Specialist to review and coordinate the service authorization process in line with payer guidelines. You will track, document, and communicate authorization activity across payer groups and support schedule coverage for ongoing cases.

The role requires prior experience with medical insurance authorizations, proficiency in MS Office, and a valid driver’s license for travel between satellite offices.

Qualifications

• High School Diploma or GED required.
• 2+ years’ experience obtaining insurance authorizations in a medical setting.
• Proficiency in MS Office (Word, Excel, PowerPoint, Outlook).
• Valid state driver’s license for travel to satellite offices and offsite meetings.

Responsibilities

• Review and coordinate the authorization process for services requiring payer authorization.
• Coordinate, track and document all authorizations electronically.
• Manage oral and/or written communication related to authorization activity.
• Provide coverage for schedules and pending cases for all payer groups as assigned.
• Demonstrate strong knowledge of payer guidelines for authorizations and adapt to all payer groups.

Skills

Insurance authorizations experience

Driver's license

MS Office proficiency

Education

High School Diploma or GED

Tools

MS Office

Job description

WHY JOIN FCS

At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages. Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.

A LITTLE BIT ABOUT FCS

Since 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols. In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval. Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients. Come join us today!

RESPONSIBILITIES

Position Summary: Review and coordinate the authorization process for any services that require an authorization per payer guidelines. Coordinates, tracks and documents all authorizations electronically. Manage oral and/or written communication related to authorization activity as appropriate. Provides coverage for schedules and pending cases for all payer groups as assigned. Must have strong knowledge of various payer guidelines for authorizations and have the ability to flex to all payer groups.

QUALIFICATIONS

• High School Diploma or GED
• Two or more years’ experience in obtaining insurance authorizations in a medical setting, and/or other relevant clerical or case management work in a medical office setting.
• Proficiency in MS Office Word, Excel, Power Point, and Outlook required
• Valid state Driver’s License for travel to satellite offices and offsite meetings.
• Compliance with the company Driver Safety Operations and Motor Vehicle Records Check Policy is required.
• Medial Assistant or equivalent preferred but not required

SCREENINGS – Background, drug, and nicotine screens

Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. All offers of employment at Florida Cancer Specialists & Research Institute are contingent upon clear results of a thorough background screening. Additionally, as a condition of employment, FCS requires all new hires to receive various vaccinations, including the influenza vaccine, barring an approved exemption. In addition, FCS is a drug-free workplace, and all new hires will be subject to drug/ nicotine testing. Medical Marijuana cards are not recognized. EEOC Florida Cancer Specialists & Research Institute (FCS) is committed to helping individuals with disabilities to participate in the workforce and ensure equal opportunity to compete for jobs. If you require an accommodation to submit a resume for positions at FCS, please email FCS Recruitment ([e-mail]) for further assistance. Please note this email address is intended to request an accommodation as part of the application process. Any other correspondence will not receive a response. FCS is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status.

At FCS, we believe the diversity, talent, skills and expertise of our people are our greatest assets, and we strive to provide a workplace where team members can thrive and grow. Florida Cancer Specialists & Research Institute (FCS) has built a national reputation for excellence. At nearly 100 locations throughout Florida, our team members share a commitment to ensuring that patients have access to world-class cancer care, close to home, with the support they need at every step of their cancer journey.

Exciting Benefits for Our Team!

At FCS our mission is to provide top-ranked care to those we serve, and investing in our team is a big part of that commitment. Here’s a brief overview of some of the core benefits we provide for our team members:

• Medical and Prescription Drug Coverage
• Vision & Dental Insurance
• Employee Assistance Program (EAP)
• Health Savings Account (HSA) & Flexible Spending Accounts
• Paid Time Off (PTO)
• 401(k) Retirement Plan
• Life Insurance
• Tuition Reimbursement
• Disability Insurance
• Accident Insurance
• Critical Illness
• Hospital Indemnity
• Pet Insurance
• Identity Theft
• Legal Insurance

As a Community Oncology practice, we believe all FCS staff share a responsibility to promote, encourage, and model healthy lifestyles that reduce the likelihood of cancer. In support of this belief, Florida Cancer Specialists & Research Institute is a smoke-free workplace. Being a smoke-free workplace means smoking is not permitted on any FCS Campus or Property; Employees may not smell of smoke while at work, FCS does not provide smoke breaks and there are no designated smoking areas on FCS Campus or Property. Medical Marijuana cards are not recognized.