The Oncology Institute of Hope and Innovation
Prior Authorization Coordinator Chemotherapy
The Oncology Institute of Hope and Innovation, Cerritos, California, United States, 90703
Prior Authorization Coordinator Chemotherapy
The Oncology Institute of Hope and Innovation was founded in 2007 and is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI offers cutting edge, evidence-based cancer care to a population of more than 1.7 million patients, including clinical trials, stem cell transplants, transfusions, and other care delivery models traditionally associated with the most advanced care delivery organizations. With 100+ employed clinicians and more than 700 teammates in 75+ clinic locations and growing, TOI is changing oncology for the better. At The Oncology Institute of Hope and Innovation, every decision you make in chemotherapy authorizations directly impacts patient care. Your expertise ensures that patients receive timely, medically appropriate treatments while advancing our mission to deliver compassionate, state-of-the-art oncology care. Job Duties: Coordinate with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for Chemotherapy (IV and Oral), Hydration, IV injections. Compile clinical documentation for prior authorizations (e.g., progress notes, labs, diagnosis codes, previously tried therapies, doctor visits). This is one of the most important roles within the organization that allows our patients to receive timely care and TOI's appropriate reimbursement. Verify and comply with payer contractual authorization requirements Submit authorization request timely and efficiently, ensuring proper documentation is included for review Utilize website portal and electronic options to submit authorization requests Submit verbal prescription orders approved by Provider and Medical Director to pharmacies, in conjunction with printed copy Work with management to identify payer trends or potential issues Demonstrate exceptional customer service skills in the performance of work assignments and duties Perform special projects or other duties as assigned Maintains confidentiality of patient records Experience/ Education: Self-motivation and ability to work effectively in an independent environment Comfortable working with patients who have cancer or a blood disorder Experience on the payer side reviewing chemo authorizations submitted by the provider Ability to learn new things quickly Experience using EMR systems Highly proficient in Microsoft Office particularly Excel, Word, and Outlook Work well under deadlines and time pressures Results-oriented with a focus on high quality High school diploma or GED Experience performing, reviewing, or generating prior authorizations for procedure or chemotherapy specifically is preferred Administrative experience in a physician office, clinic, hospital, or health insurance/ payer is a plus CPT and ICD-10 Knowledge Medical Terminology Insurance knowledge; PPO, HMO, Medi-Cal, Medicare, Workers Compensation The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. Pay Transparency for hourly teammates $21 - $22.25 USD Create a Job Alert Interested in building your career at The Oncology Institute of Hope and Innovation? Get future opportunities sent straight to your email. Apply for this job
* indicates a required field First Name * Last Name * Preferred First Name Email * Phone * Location (City) * Resume/CV * Enter manually Accepted file types: pdf, doc, docx, txt, rtf Enter manually Accepted file types: pdf, doc, docx, txt, rtf This position is full time, Monday-Friday, 8 am - 5 pm, in our Cerritos, California headquarters office. It is not a remote position. Please confirm that you are able and willing to work at this location and on this schedule. * This position involves assisting patients who have cancer or a blood disorder. Please confirm that you are comfortable working with this demographic group, and share any professional or personal experience that you feel is relevant to the role. * One of the duties of this position is taking prescription orders that were written by a licensed Provider, and then approved by the Medical Director, and verbally conveying them to the pharmacy. Verbal orders are followed by written copies, and verified by the pharmacy. Training is provided. Please confirm that you are comfortable completing this task. * Opt-in to receive text messages about jobs and your application updates at The Oncology Institute? Please answer with Yes or No. You can reply STOP to opt-out at any time.
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The Oncology Institute of Hope and Innovation was founded in 2007 and is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI offers cutting edge, evidence-based cancer care to a population of more than 1.7 million patients, including clinical trials, stem cell transplants, transfusions, and other care delivery models traditionally associated with the most advanced care delivery organizations. With 100+ employed clinicians and more than 700 teammates in 75+ clinic locations and growing, TOI is changing oncology for the better. At The Oncology Institute of Hope and Innovation, every decision you make in chemotherapy authorizations directly impacts patient care. Your expertise ensures that patients receive timely, medically appropriate treatments while advancing our mission to deliver compassionate, state-of-the-art oncology care. Job Duties: Coordinate with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for Chemotherapy (IV and Oral), Hydration, IV injections. Compile clinical documentation for prior authorizations (e.g., progress notes, labs, diagnosis codes, previously tried therapies, doctor visits). This is one of the most important roles within the organization that allows our patients to receive timely care and TOI's appropriate reimbursement. Verify and comply with payer contractual authorization requirements Submit authorization request timely and efficiently, ensuring proper documentation is included for review Utilize website portal and electronic options to submit authorization requests Submit verbal prescription orders approved by Provider and Medical Director to pharmacies, in conjunction with printed copy Work with management to identify payer trends or potential issues Demonstrate exceptional customer service skills in the performance of work assignments and duties Perform special projects or other duties as assigned Maintains confidentiality of patient records Experience/ Education: Self-motivation and ability to work effectively in an independent environment Comfortable working with patients who have cancer or a blood disorder Experience on the payer side reviewing chemo authorizations submitted by the provider Ability to learn new things quickly Experience using EMR systems Highly proficient in Microsoft Office particularly Excel, Word, and Outlook Work well under deadlines and time pressures Results-oriented with a focus on high quality High school diploma or GED Experience performing, reviewing, or generating prior authorizations for procedure or chemotherapy specifically is preferred Administrative experience in a physician office, clinic, hospital, or health insurance/ payer is a plus CPT and ICD-10 Knowledge Medical Terminology Insurance knowledge; PPO, HMO, Medi-Cal, Medicare, Workers Compensation The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. Pay Transparency for hourly teammates $21 - $22.25 USD Create a Job Alert Interested in building your career at The Oncology Institute of Hope and Innovation? Get future opportunities sent straight to your email. Apply for this job
* indicates a required field First Name * Last Name * Preferred First Name Email * Phone * Location (City) * Resume/CV * Enter manually Accepted file types: pdf, doc, docx, txt, rtf Enter manually Accepted file types: pdf, doc, docx, txt, rtf This position is full time, Monday-Friday, 8 am - 5 pm, in our Cerritos, California headquarters office. It is not a remote position. Please confirm that you are able and willing to work at this location and on this schedule. * This position involves assisting patients who have cancer or a blood disorder. Please confirm that you are comfortable working with this demographic group, and share any professional or personal experience that you feel is relevant to the role. * One of the duties of this position is taking prescription orders that were written by a licensed Provider, and then approved by the Medical Director, and verbally conveying them to the pharmacy. Verbal orders are followed by written copies, and verified by the pharmacy. Training is provided. Please confirm that you are comfortable completing this task. * Opt-in to receive text messages about jobs and your application updates at The Oncology Institute? Please answer with Yes or No. You can reply STOP to opt-out at any time.
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