Lead Oncology Authorization Coordinator, Business Clinic Office, FT, 10:30A - 7:00P

• High School,Cert,GED,Trn,Exper.

• For internal staff: A min of 4 yrs exp in validating/obtaining authorizations.
• Meets/exceeds all Individual Performance Standards for at least the most recent 12 months.
• Exceeds dept.
• KPIs.
• Assist co-workers and precepts new hires.
• Cross trained in multiple areas/product lines/practices to substitute all staff positions as needed.
• For external staff: AA Degree preferred with 4 yrs exp in validating/obtaining authorizations or 5 yrs exp in lieu of degree.
• Prior Authorization On-Demand Webinars to be completed within 3 months of hire, & updated yearly education required.
• Complete & pass the Patient Access training course.
• Ability to work in a high volume, fast-paced work environment & perform basic mathematical calculations.
• Detail oriented, organized, team player, compassionate, excellent customer service & interpersonal communication skills.
• Desired: Authorization guidelines for Oncology Radiation/Infusion knowledge.
• Leadership exp preferred.
• Knowledge of healthcare regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA, Medicare coverage structure, medical necessity compliance guidelines.
• Working knowledge of insurance contracts, & authorization/pre-certifications.
• Microsoft Office products, EMR applications, etc.
• Knowledge of medical terminology.
• Bilingual English, Spanish/Creole preferred.

EOE, including disability/vets