Authorizations Team Lead - Oncology

Required:

• In-depth working knowledge of insurance authorization and verification process for major medical insurance plans.
• Knowledge of oncology CPT and ICD-10 codes and medical office procedures. Working knowledge of oncology procedures and terminology.
• Experience with varied computer software and hardware including word processing, knowledge of Microsoft Word, Excel, Outlook, the internet and with an EMR system.
• Typing skills to prepare forms and correspondence with speed and accuracy.
• Possesses strong customer service skills to promote pleasant and effective interactions with patients, staff, and physicians.
• Knowledge of billing and medical office procedures.
• Ability to set priorities and complete assignments in a timely manner under minimal supervision.
• Advanced organizational skills to ensure a workable, efficient workspace and accomplish established objectives.
• Skill in adapting to and implementing frequently changing procedures.
• Working knowledge of third party payor verification terminology to determine benefit eligibility and interpretation of coverage.
• Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, or other sponsoring agencies.
• Skill in analyzing information, problems, situations, practices, and procedures to recognize alternatives and provide solutions.
• Ability to problem-solve with other members of the clinic team while maintaining cooperative working relationships with administrators, physicians, peers, and the public.
• Skill in recognizing an emergency or high priority situation and taking appropriate and immediate action.Demonstrated ability to maintain composure when confronted by difficult situations and to respond professionally.
• Skill in speaking clearly and using appropriate grammar.
• Ability to work as part of a team, maintaining confidentiality in all assignments, and showing initiative in identifying and solving problems as they occur.

Preferred:

• Knowledge of patient assistance programs.

As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.