The Oncology Institute
Prior Authorization Coordinator Chemotherapy
The Oncology Institute, Cerritos, California, United States, 90703
Overview
Prior Authorization Coordinator Chemotherapy – The Oncology Institute Join to apply for the Prior Authorization Coordinator Chemotherapy role at The Oncology Institute. The Oncology Institute of Hope and Innovation (TOI) delivers specialized, value-based cancer care across multiple clinics and locations. TOI focuses on cutting-edge, evidence-based oncology care with a patient-centered mission. At TOI, every decision you make in chemotherapy authorizations directly impacts patient care by ensuring timely, medically appropriate treatments while supporting TOI’s mission to deliver compassionate, state-of-the-art oncology care.
Responsibilities
Coordinate with third-party insurance, clinical staff, and patients to process prior authorization requests for Chemotherapy (IV and Oral), Hydration, IV injections.
Compile clinical documentation for prior authorizations (e.g., progress notes, labs, diagnoses codes, previously tried therapies, doctor visits).
Review authorization queue for applicable orders and verify compliance with payer contractual authorization requirements.
Submit authorization requests timely with proper documentation for review; utilize website portals and electronic submission options.
Submit verbal prescription orders approved by the Provider and Medical Director to pharmacies, in conjunction with printed copies.
Collaborate with management to identify payer trends or potential issues and maintain exceptional customer service in all duties.
Perform special projects or other duties as assigned and maintain 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; experience performing, reviewing, or generating prior authorizations for procedures or chemotherapy is preferred.
Attention to detail and ability to learn quickly.
Experience using EMR systems; proficiency in Microsoft Office (Excel, Word, Outlook).
Ability to work well under deadlines and time pressures; results-oriented with a focus on high quality.
High school diploma or GED; 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).
Pay Pay Transparency: 21.00—22.25 USD per hour
Note: The estimate displayed represents typical wage ranges and may be affected by experience and skills.
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Prior Authorization Coordinator Chemotherapy – The Oncology Institute Join to apply for the Prior Authorization Coordinator Chemotherapy role at The Oncology Institute. The Oncology Institute of Hope and Innovation (TOI) delivers specialized, value-based cancer care across multiple clinics and locations. TOI focuses on cutting-edge, evidence-based oncology care with a patient-centered mission. At TOI, every decision you make in chemotherapy authorizations directly impacts patient care by ensuring timely, medically appropriate treatments while supporting TOI’s mission to deliver compassionate, state-of-the-art oncology care.
Responsibilities
Coordinate with third-party insurance, clinical staff, and patients to process prior authorization requests for Chemotherapy (IV and Oral), Hydration, IV injections.
Compile clinical documentation for prior authorizations (e.g., progress notes, labs, diagnoses codes, previously tried therapies, doctor visits).
Review authorization queue for applicable orders and verify compliance with payer contractual authorization requirements.
Submit authorization requests timely with proper documentation for review; utilize website portals and electronic submission options.
Submit verbal prescription orders approved by the Provider and Medical Director to pharmacies, in conjunction with printed copies.
Collaborate with management to identify payer trends or potential issues and maintain exceptional customer service in all duties.
Perform special projects or other duties as assigned and maintain 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; experience performing, reviewing, or generating prior authorizations for procedures or chemotherapy is preferred.
Attention to detail and ability to learn quickly.
Experience using EMR systems; proficiency in Microsoft Office (Excel, Word, Outlook).
Ability to work well under deadlines and time pressures; results-oriented with a focus on high quality.
High school diploma or GED; 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).
Pay Pay Transparency: 21.00—22.25 USD per hour
Note: The estimate displayed represents typical wage ranges and may be affected by experience and skills.
#J-18808-Ljbffr