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[Remote] Financial Clearance Rep
Note: The job is a remote job and is open to candidates in USA. City of Hope is a leading cancer research and treatment organization, dedicated to making hope a reality for those affected by cancer and diabetes. The Financial Clearance Rep will be responsible for obtaining authorizations for medical services, ensuring accurate and timely decisions from payers regarding various medical procedures and treatments.
Responsibilities
- This position is responsible for the authorizations for medical services at City of Hope Chicago, Atlanta, and Phoenix
- This role will 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
- This position requires excellent time management and organizational skills as well as the ability to provide clear and concise communicates, both verbally and written
- This position is empowered to approve, pend or deny services for our population of patients according to policy
- This position requires strong knowledge of ICD9/10 diagnosis codes as well as CPT codes
Skills
- High school diploma/equivalent
- 2 years' experience in this field or related field such as medical coding, financial counseling setting or similar service profession
- 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
- Previous oncology background preferred
Company Overview
