2 years of experience in a hospital, medical office/doctorâs office or working for a health insurer required.Â
Oncology experience is preferred.
Medical prior authorizations or claims experience in a managed care setting highly preferred
Knowledge of the health insurance industry and claims processing a plus
Excellent time management, organizational skills, research/analytical skills, negotiation, communication (written and verbal), and interpersonal skills
Fire and Safety Certification.Â If no card upon hire, one must be obtained within 30 days of hire, and maintained by renewal before expiration date.Â Â Â Â Â
The Authorization Representative will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, 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 Representative will be in a position to interface directly with medical and clinical staff to ensure a seamless process to the patients receiving outpatient clinic, inpatient admission and /or ancillary services. This position will report to the Clinical Authorizations Supervisor and will assist in the operations assigned to the Consolidated Pre arrival Unit.
USC’s Viterbi School of Engineering has been one of the economic engines in Southern California and a vital hub in the California economy. The technical innovations and ideas generated by the Viterbi faculty and research community have resulted in countless innovations, many becoming the foundations for new companies, products and services. The thousands of students graduating each year bring new ideas and vitality to companies in California and beyond. With an annual research budget exceeding $205M each year, more than 46 research centers and institutes, more than 180 faculty members, 7,800 students and over 60,000 impassioned alumni world-wide, the Viterbi School is addressing some of the world’s great challenges.