Administrative Supervisor - Oncology, Authorizations

In this role, you will be responsible for developing and implementing authorizations training procedures and evaluation methods. In addition, you will interact with the clinical research unit to ensure active research patient treatments are accurately authorized to ensure reimbursement for cancer therapies. Further, you will liaise with the professional billing office when claims are denied to ensure timely submission of requested clinical documentation to process appeals.

Salary range: $32.42/hr - $64.51/hr

Required:

- Knowledge of oncology CPT and ICD-10 codes and medical office procedures. General knowledge of oncology procedures and terminology.
- Working knowledge of insurance authorizations and verification process for major medical insurance plans.
- Healthcare research and analysis skills sufficient to support drug coverage and reimbursement.
- Experience with varied computer software and hardware including: knowledge of Microsoft Word, Excel and Outlook, CareConnect, billing systems and the internet.
- Possess strong customer service skills to promote pleasant and effective interactions with patients, staff and physicians.
- Skills in analyzing information, problems, situations, practices and procedures to recognize alternatives and provide solutions while maintaining cooperative working relationships with administrators, physicians, peers and the public.
- Ability to work as part of a team, maintaining confidentiality in all assignments and show initiative in identifying and solving problems as they occur.
- Ability to set priorities and complete assignments in a timely manner under minimal supervision.
- Advanced organizational skills to ensure a workable, efficient workspace and accomplish established objectives.
- Skills in adapting to and implementing frequently changing procedures.
- Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, or other sponsoring agencies as well ask knowledge of reimbursement guidelines for commercial and managed care payers.
- Skill in recognizing a high priority situation and taking appropriate and immediate action.
- Ability to maintain composure when confronted with difficult situations and respond professionally.
- Ability to make independent judgements and to evaluate complex, sensitive issues with diplomacy
- Skill in speaking clearly and using appropriate grammar.
- Skill in writing concise, grammatically correct reports/correspondence.
- Ability to perform basic mathematical functions.
- Working knowledge of medical terminology to sufficiently identify various procedures to obtain optimum benefit information and reimbursement.
- Working knowledge of third party payor verification terminology.
- Knowledge in the functional operations of third party payors and utilization review agencies to expeditiously coordinate follow-up.
- Interpersonal skills to interact with all members of the healthcare team to develop and maintain a cooperative working environment.
- Minimum of two years of previous supervisory experience
- Ability to set priorities and complete assignments in a timely manner.
- Ability to evaluate situations and appraise supervisor of all exceptional and non-standard activities upon occurrence.
- Demonstrated ability to be punctual and maintain a satisfactory attendance record.
- Demonstrated ability to adhere to departmental policies and procedures and work rules.
- Ability to perform other tasks and duties as assigned.

As a condition of employment , the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Current/former UC employees are subject to a personnel file review.