AUTHORIZATION COORDINATOR- REMOTE
Post Date
Jun 04, 2024
Location
Nashville,
Tennessee
ZIP/Postal Code
37205
Job Type
Contract-to-perm
Category
Patient Services (i.e. Scheduler)
Req #
HTN-709174
Pay Rate
$18 - $26 (hourly estimate)
JOB DESCRIPTION
-Receives chemotherapy orders and reviews for compendia compliance, submits for authorization.
-Ensures compendia compliance and obtains all required authorization and referral information for patients' treatments.
-Receives authorization for in-house and outpatient procedures and documenting it in the patient medical record.
-Communicates effectively with the Billing and Office
-Managers as well as billing and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received.
-Maintains detailed notes in patients' electronic records.
-Reviews schedules daily and ensures appropriate insurance and authorization has been obtained and documented.
-Maintain a high level of confidentiality for patients in accordance to HIPAA standards.
-Ensures patients are contacted prior to appointments to inform them of treatment schedule changes if necessary and when appropriate.
-Become familiar with up to date NCCN guidelines.
-Effectively completes other duties and projects as assigned.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.
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REQUIRED SKILLS & EXPERIENCE
-High School Diploma or equivalent required
-2-3 years' experience with authorization
-Working knowledge with insurance
-Worked in the Oncology space
-Strong customer service background, in a health care environment
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.