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The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, inpatient admission, ancillary services and/or chemotherapy and other infused treatments as needed in assigned service line. The Specialist will be instrumental in obtaining written documentation, submitting tracking, reporting and documenting outcomes of each authorization request. The Specialist will be in a position to interface directly with medical/clinical staff and pharmacy to ensure a seamless process to the patients receiving treatment.
The Specialist – Clinical Authorization will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, chemotherapy treatments, and/or other requested services/ procedures, inpatient admission and ancillary services as needed. The Representative will be instrumental in obtaining written documentation, submitting, tracking reporting and documenting outcomes of each authorization request. The Specialist will be in a position to interface directly with medical and clinical staff and pharmacy to ensure a seamless process to the patients receiving outpatient clinic, inpatient admission ancillary services, chemotherapy treatments or other procedures as requested. This position will report to Administrative Clinic Manager and will assist in the operation of Koreatown/ Buena Park Medical Oncology/ Multi- Disciplinary Clinic.
Essential Duties:
Required Qualifications:
Preferred Qualifications:
Required Licenses/Certifications:
Full Time
$45k-54k (estimate)
05/02/2024
06/30/2024
keckmedicine.org
Los Angeles, CA
1,000 - 3,000