Prior Authorization Coordinator

Ohio State University Physicians Inc

Columbus, OH, USA
3 years oncology experience
Clinical education to payers
Knowledge of icd-9-cm coding
The role involves managing complex medical necessity denials through the appeals process

Job Summary

  • The role involves managing complex medical necessity denials through the appeals process.
  • You will provide clinical education to payers and support clinicians in mitigating revenue loss.
  • The position fosters effective working relationships with clinical staff and aims to decrease denials.

Matching Summary

The role involves managing complex medical necessity denials through the appeals process.

Skills & Requirements

Must-have

  • 3 years oncology experience
  • clinical education to payers
  • knowledge of ICD-9-CM coding

Nice-to-have

  • experience with Windows and Excel
  • strong verbal and written skills
  • experience in physician practice

Key Requirements

  • Associate Degree in Nursing preferred
  • 3 years experience in oncology required
  • knowledge of Medicare reimbursement preferred

Work Rights

Not specified

Tailored Resume

Cover Letter