Utilization Management Coordinator I

Florida Cancer Specialists

1d•Remote

About The Position

At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages. Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance. Since 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols. In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval. Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients. Come join us today!

Requirements

At least one year of experience doing insurance verification, billing, and collections in a medical office or hospital setting is required.
Must have excellent interpersonal and communication skills, be very detail-oriented and a self-starter.

Responsibilities

Act as a liaison between the financial counselors and business office staff and to provide support and leadership to the Intake Department.
Works closely with management team in business office to ensure all internal and external customer service issues are addressed.
Obtain authorizations for all internal services from patient’s PCP and/or managed care companies.
Verify Medicaid patient eligibility status for established patients.
Obtain authorizations for Medipass patients.
Review daily schedules for potential pitfalls of unusual patient insurance coverage limitations or restrictions.
Enter all notes and/or insurance changes into the OncoEMR system.