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Job: Authorization Specialist

This posting has expired and is no longer available.

Job Description

Ironwood Cancer & Research Centers has beautiful state-of-the-art integrated Cancer and Breast Centers, with locations strategically located throughout the Valley. Each one provides a superior cancer care environment with a full spectrum of cancer related services for patients. Our multi-disciplinary team approach includes surgical oncology, medical oncology, radiation oncology, diagnostic imaging services, social service support, nutritionist, integrative services, and genetic counseling.

Mission Statement:  To serve the community by providing quality, comprehensive cancer care which respects the values and needs of each individual.

Overview: We are currently looking for a qualified and experienced Authorization Specialist for our Central Business Office location in Gilbert.

This is a full time position working 40 hours per week, Monday - Friday schedule.

Essential Duties and Responsibilities: 

  • Enter patient demographic including insurance into the computer system.
  • Works patient accounts out 3-5 days.
  • Determine authorization status by confirming in computer and chart previous notation regarding expiration date(s) and confirming drug(s) for treatment including injections.
  • Provide the Financial Counselor with any new information on insurance coverage and/or new drugs added to protocols.
  • Confirm the correct insurance from review of computer and chart.
  • Obtain authorization for patient visits and treatment in the office.
  • Record in chart and in computer the number of visits, detailed description of the authorization, the expiration date, and name of the insurance carrier.
  • Recheck authorization(s) every 6 months if no activity has occurred with treatment.
  • Complete working knowledge of all insurance company requirements as they relate to authorization.
  • Print the encounter forms one day before the visit.
  • Enroll patient(s) in home health services; obtain authorizations for Rx drugs & DME. Arrange for pt to receive services.
  • Work closely with clinical staff to determine “real-time” changes in the patient’s treatment plan and need for subsequent authorization(s).
  • Maintain a team oriented, positive attitude with patients, co-workers, and outside customers.
  • Any other duties as assigned.
     

Knowledge and Skills:

  • Knowledge of insurance company’s procedures and policies.
  • Knowledge of governmental, legal and regulatory provisions related to HIIPA.
  • Knowledge of chemotherapy related drugs and supplies utilized.
  • Knowledge of diagnostic testing and radiation procedures.
  • Knowledge of CPT, ICD-10, HCPCS coding.
  • Knowledge of basic mathematics.
  • Proficiency in Microsoft Office, Word, Excel and Internet

Education and Qualifications:

  • Minimum of 2 years in the healthcare reimbursement field.
  • Medical and Radiation Oncology experience preferred.
  • High school diploma or equivalent required.

 

We offer a competitive salary and a comprehensive benefit package including health/dental/vision and life insurance, 401K, and a caring work environment.

We are an E.O.E.Visit our website at www.ironwoodcrc.com. "Outsmarting Cancer One Patient at a Time"