Prior Authorization Coordinator

Ohio State University

Columbus, OH, USA
Clinical knowledge management
Oncology experience
Icd-9-cm coding knowledge
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.
  • It requires providing clinical education to payers and supporting clinicians to mitigate revenue loss.
  • The position fosters effective relationships with clinical staff and aims to pursue hospital reimbursement for patient services.

Matching Summary

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

Skills & Requirements

Must-have

  • Clinical knowledge management
  • Oncology experience
  • ICD-9-CM coding knowledge

Nice-to-have

  • Experience in physician practice
  • Utilization review experience
  • Strong verbal and written skills

Key Requirements

  • Associate Degree in Nursing preferred
  • Minimum of 3 years oncology experience
  • Knowledge of Medicare and commercial insurance reimbursement

Work Rights

Not specified

Tailored Resume

Cover Letter