Clinical Authorization Specialist (hospital) - Prearrival - Full Time 8 Hour Days (non-exempt) (non-union)

University of Southern California

Los Angeles, CA, US
Base: $25.00 - $39.69 ph; bonus/equity: not specif...
Third-party payer authorization management
Cpt and icd coding proficiency
Keckcare system usage
The Clinical Authorization Specialist leads the process of securing medical authorizations from commercial and government payers for various clinical services including chemotherapy

Job Summary

  • The Clinical Authorization Specialist leads the process of securing medical authorizations from commercial and government payers for various clinical services including chemotherapy.
  • This role requires interfacing directly with medical staff, pharmacy, and patients to ensure a seamless treatment process while maintaining strict privacy and confidentiality.
  • The position involves researching payer policies, utilizing Excel macros for tracking, and coordinating with directors on denied or disputed claims.

Matching Summary

The Clinical Authorization Specialist leads the process of securing medical authorizations from commercial and government payers for various clinical services including chemotherapy.

Salary

Base: $25.00 - $39.69 per hour; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Third-party payer authorization management
  • CPT and ICD coding proficiency
  • Keckcare system usage
  • Excel macro tracking log skills
  • Medical policy research capabilities

Nice-to-have

  • Oncology treatment experience
  • Manufacturer patient assistance program knowledge
  • Strong negotiation and communication skills
  • Managed care claims processing background
  • LVN license preferred

Key Requirements

  • High school diploma or equivalent
  • 2 years hospital or medical office experience
  • Fire Life Safety Training (LA City)
  • Licensed Vocational Nurse (LVN) preferred
  • Oncology experience preferred

Work Rights

Not specified

Tailored Resume

Cover Letter