American Oncology Network AON
Managed Care Coordinator
United States
Sponsorship not specified$19k-$32kDetected 6 days ago
ExcelHRISCustomer SupportEHR/EMRICD-10Patient CareCommunicationCollaborationProblem SolvingCritical ThinkingTime ManagementMicrosoft Office
About the role
- Core Capabilities: - Analysis & Critical Thinking: Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management and organizational skills.
- Ability to work effectively with sensitive and confidential material and sometimes emotionally charged matters. - Communication Skills: Good command of the English language.
- Effective communication skills (oral, written, presentation), is an active listener, and effectively provides balanced feedback. - Customer Service & Organizational Awareness: Strong customer focus.
Responsibilities
- Monitors and coordinates internally and externally with the insurance company on the pre-certification and prior authorization processes, including peer-2-peer and appeals, seeking support from provider or pharmacy team when applicable.
- Maintain all company equipment in a safe and working order.
- Performs other duties and projects as assigned.
- Performs the quality control function for pre-certification and prior authorization.
Requirements
- Excellent proven verbal and communication skills needed.
- Ability to calculate and collect patients' responsibility and insurance co-pay/coinsurance.
- Must be detailed oriented with the ability to exercise independent judgment.
- Ability to work effectively with sensitive and confidential material and sometimes emotionally charged matters.
- Will be expected to work overtime when given sufficient notice of required overtime.
Skills
- Good command of the English language.
- Second language is an asset but not required.
- Effective communication skills (oral, written, presentation), is an active listener, and effectively provides balanced feedback.
- Proficiency in MS Office Word, Excel, Power Point, and Outlook required.
- Ability to navigate multiple applications and tab in and out of workflow to complete tasks.
- Computer
- Standard Core Workdays/Hours: Monday to Friday 8:00 AM - 5:00 PM.
- Occasional overtime may be required, and weekend shifts based on location hours and operational needs.
Compensation
- Remote Position Pay Range:
Benefits
- Review assigned patient(s) and/or Physician schedules for upcoming visits and/or treatment to evaluate coverage criteria with payor guidelines and preferred treatment.
- Review patients' treatment plan(s) and identify if insurance benefit coverage is active, all unplanned exceptions are to be communicated to provider/clinic team immediately.
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This listing is sourced directly from American Oncology Network AON's careers page and normalized into a canonical job model.