Prior Authorization Workflow Coordinator

  • CCI Clearview Cancer Institute
  • Huntsville, AL
  • 3mo ago
  • Full-Time
  • On-site

Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options.

Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

Job Description:

Job purpose

Provide essential administrative and operational support to ensure the smooth daily functioning of the prior auth department. 

Essential Job Functions

  • Assign and track daily workloads to ensure efficient distribution of tasks
  • Verify active insurance coverage and benefits
  • Monitor and manage incoming faxes, tasks, and emails; route information to appropriate departments in a timely manner
  • Communicate clearly with PA staff regarding assignments, updates, and operational needs
  • Escalate urgent or time-sensitive matters to supervisors as needed
  • Responsible for checking insurance changes/dose changes and relaying changes to appropriate PA staff member
  • Other duties as assigned.

Qualifications

  • Must have knowledge of Health Insurance Plans
  • Must have good working knowledge of Excel and Outlook
  • Must have good interpersonal skills
  • Must have good written and verbal communication skills
  • Must be organized and efficient.
  • Must be able to prioritize and complete tasks in a timely manner.
  • Must be able to follow directions and/or work independently.

Education/Experience

  • Must have a high school diploma or equivalent.
  • Must have at least one (1) year experience in a medical office setting.

Working conditions:

This position works in the billing department of a busy oncology/hematology clinic. This person generally only has contact with patients via phone.

Physical requirements:

This position requires that the employee be able to sit at a desk in front of a computer for up to eight hours a day. Some walking and standing may be required to complete tasks.

Direct reports

This position is not a supervisory position.