Job Information
Insight Global Authorization Coordinator in Fresno, California
Job Description
Receives chemotherapy orders and reviews for compendia compliance, submits for authorization.
Ensures compendia compliance and obtains all required authorization and referral information for patients treatments.
Receives authorization for in-house and outpatient procedures and documenting it in the patient medical record.
Communicates effectively with the Billing and Office Managers as well as billing and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received.
Maintains detailed notes in patients electronic records.
Reviews schedules daily and ensures appropriate insurance and authorization has been obtained and documented.
Maintain a high level of confidentiality for patients in accordance to HIPAA standards.
Ensures patients are contacted prior to appointments to inform them of treatment schedule changes if necessary and when appropriate.
Become familiar with up to date NCCN guidelines.
Effectively completes other duties and projects as assigned.
Must touch 35 patient accounts a day
Work in collaboration with other Insurance Authorization team members
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .
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Skills and Requirements
1+ years of experience with health insurance
1+ years of experience working with authorizations
Highschool diploma Chemo, pharmacy or medication authorization experience (J Code) null
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.