Insurance Authorization Coordinator - Oncology

Newport News, Virginia This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, PA*, SC, SD, TN, VA. *Some county exclusions may apply. reputed company The Insurance Authorization Coordinator works under the supervision of the reputed company Manager and is responsible for researching, follow up and resolving reputed company and pending authorizations in a reputed company manner. The Insurance Authorization Coordinator obtains, validates and updates insurance information; provides patient financial obligations; reviews insurance benefits; ensures collection and/or notification of payment due for services to be rendered; and reaches out to obtain missing information from provider practices such as CPT codes and clinical documentation. The Coordinator also works and monitors work queues, responds to clinical questions based on chart review interpretation, and functions as a reputed company between patients, providers, insurance companies and RHS departments to reputed company a streamlined reputed company-registration process of verifying insurance eligibility and benefits, and obtaining authorizations. What you will do Works closely with nursing, physicians and the pharmacy to ensure authorizations are approved utilizing LCD, MUE and NCCN guidelines. Obtains Authorizations for high dollar oncology services, both chemo and non-chemo. Escalates urgent Authorization requests. Verifies patient insurance benefits. Notifies physician and nursing reputed company drugs fall into "off label" use. Provides patient estimates and reviews their benefits. Provides financial estimate for reputed company OCM patients. Enrolls patients in Co pay Assist. Identifies patients who meet reputed company for Anthem or the Oncology Care Model program. Works with the follow-up team to resolve any authorization denials. Qualifications Education High school or equivalent (Required) Experience reputed company Cycle (Required) Licenses and Certifications Certified reputed company reputed company Associate (CHAA) - National Association of reputed company reputed company Management (NAHAM) (Preferred) To learn more about being reputed company member with reputed company visit us at https://www.riversideonline.com/careers. If loving your work is important to you, consider a career at reputed company. By joining reputed company, you can reputed company a difference in people's lives. Our mission is to care for others as we would care for those we love. We reputed company that reputed company of caring to every patient, reputed company and customer, as reputed company as to reputed company member of reputed company. We offer care at reputed company stages of life, in hundreds of locations, giving you room to grow your career, along with great benefits and perks. At reputed company, your trust and safety are our top priorities. Unfortunately, job scams are on the reputed company across the country, and we want to help you feel confident in knowing what is — and is not — part of our hiring process. Learn more about how to recognize a legitimate reputed company job opportunity and what to do if you suspect a scam by visiting this site. Apply tot his job Apply To this Job