responsible for the authorizations for medical services at City of Hope Chicago, Atlanta, and Phoenix.
obtain accurate and timely decisions from payers regarding authorizations of medical procedures, high tech imaging services, surgical cases, personalized genomic medicine, technically advanced radiation therapy treatments, chemotherapy and any other procedure requiring authorization.
excellent time management and organizational skills as well as the ability to provide clear and concise communicates, both verbally and written.
empowered to approve, pend or deny services for our population of patients according to policy.
strong knowledge of ICD9/10 diagnosis codes as well as CPT codes.

Minimum Education : High school diploma/equivalent
Minimum Experience : 2 years’ experience in this field or related field such as medical coding, financial counseling setting or similar service profession
Preferred Experience : Previous oncology background preferred
Solid knowledge of medical terminology, ICD9 codes, CPT/HCPC’s codes.
Advanced written and verbal communication skills.
Excellent organizational skills, ability to manage multiple priorities and responsibilities.
Outstanding communication and customer service skills.
Ability to utilize critical thinking and apply sound judgment and assessment skills for decision
making.
Candidate must be proficient using a computer, using online websites and email
Possess in
depth knowledge regarding regulatory compliance, HIPAA, COBRA, Patient rights, EMTALA, and Medicare/Medicaid.

Financial Clearance Representative

Key skills