Job Description
Our Client, a Cancer Center company, is looking for a Financial Clearance Specialist III for their Irwindale, CA location. Responsibilities:
+ Referral Coordination:
+ Identifies insurance companies requiring prior authorization for services and obtains authorization.
+ Coordinates authorizations for procedures and testing requested by providers for their managed care patient.
+ Reviews charts on outpatients and reports to third party payors.
+ Retrieves chemo/surgery orders from chart, and requesting authorization through the insurance companies.
+ Prepares all forms required by third party payor for treatment authorization requests.
+ Work on all pending utilization review patients, and achieve authorization for the following day.
+ Getting emergent authorizations from walk-in patients.
+ Verifying with the insurance companies and documents what needs to be pre-certified.
+ Ed...
+ Referral Coordination:
+ Identifies insurance companies requiring prior authorization for services and obtains authorization.
+ Coordinates authorizations for procedures and testing requested by providers for their managed care patient.
+ Reviews charts on outpatients and reports to third party payors.
+ Retrieves chemo/surgery orders from chart, and requesting authorization through the insurance companies.
+ Prepares all forms required by third party payor for treatment authorization requests.
+ Work on all pending utilization review patients, and achieve authorization for the following day.
+ Getting emergent authorizations from walk-in patients.
+ Verifying with the insurance companies and documents what needs to be pre-certified.
+ Ed...