Authorization Coordinator Outpatient

The Oncology Institute of Hope and Innovation (TOI) is a leading provider of specialized cancer care in the community setting. They are dedicated to delivering cutting-edge, evidence-based cancer care to a large patient population. With a team of over 100 clinicians and 800 teammates across multiple clinic locations, TOI is committed to changing the landscape of oncology. They are currently seeking a professional to join their team as a Prior Authorization Coordinator. In this role, the coordinator will be responsible for effectively processing prior authorization requests for office visits, ensuring compliance with payer requirements and maintaining proper documentation.

• Coordinate with third-party insurance, clinical staff, and patients to process prior authorization requests for all Office Visits
• Compile clinical documentation for prior authorizations (ex: progress notes, labs, diagnoses codes, previously tried therapies, doctor visits)
• Review authorization queue for applicable orders
• Verify and comply with payer contractual authorization requirements
• Submit authorization request timely and efficiently, ensuring proper documentation is included for review
• Utilize website portal and electronic options to submit authorization requests
• Work with

• Coordinate with third-party insurance, clinical staff, and patients to process prior authorization requests for all Office Visits
• Compile clinical documentation for prior authorizations (ex: progress notes, labs, diagnoses codes, previously tried therapies, doctor visits)
• Review authorization queue for applicable orders
• Verify and comply with payer contractual authorization requirements
• Submit authorization request timely and efficiently, ensuring proper documentation is included for review
• Utilize website portal and electronic options to submit authorization requests
• Work with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for all Office Visits

• High school graduate or GED
• 1-2 years experience preferred
• Computer skills required
• Fluent in Spanish
• Typical wage range of $18-$21 per hour
• California Pay Transparency for hourly teammates