Job: Drug Authorization Specialist

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Posted: 04/13/2017

Job Status: Full Time

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 looking for [a motivated, professional, and friendly individual – or qualified and experienced [name of position]] in our fast-paced out-patient oncology clinic in Gilbert. [Put in position summary]

Schedule:  Full-time, Monday through Friday day shift position. 

Essential Duties and Responsibilities:

  • Obtain authorization for all drugs administered in the office prior to treatment following established guidelines for each payer.
  • Run/work schedules daily, maintaining 4 weeks out consistently.
  • Run/work add-on schedules daily.
  • Work QCL’s prior to due date; respond to STAT QCL’s within 10 minutes.
  • Follow up on all pending authorization requests daily to ensure that authorization is received prior to treatment.
  • Maintains communication with physicians, management, clinical staff, financial counselors and insurance team regarding authorization concerns, treatment and patient benefits daily or as needed.
  • Update authorization as needed when insurance plans change and/or authorization expires.
  • Load authorizations into face sheet.
  • Work incoming faxes timely.
  • Document detailed patient account notes and QCL comments.
  • Send Authorizations to medical records for scanning daily.
  • Answering incoming calls.
  • Check monthly for any drug policy updates with all insurance payers.
  • Promotes a team-oriented work environment; assists team members as needed.
  • Complete all daily, weekly and monthly checklists. Weekly reports to management.
  • Any other duties requested by management or physicians.

Knowledge and Skills:

  • Understanding of insurance verification process and how to read patient ledgers.
  • Knowledge of Medical Office operations.
  • Knowledge of medical terminology.
  • Knowledge of CPT, ICD-10, HCPCS coding.
  • Proficiency in basic mathematics.
  • Proficiency in Microsoft Office, Word, Outlook, and Internet.
  • Able to be in a seated position, talk on the phone, repetitive keyboard usage and clarity of vision at 20 inches or less.

Education and Experience:

  • 1-3 years’ experience working in a medical office.
  • High school diploma or equivalent required.
  • Medical and Radiation Oncology experience preferred.

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.

Please visit our website at www.ironwoodcrc.com. "Outsmarting Cancer One Patient at a Time"

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