Utilization Management Coordinator II

About FCS

At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages. Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance. Since 1984, Florida Cancer Specialists & Research Institute has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols. In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval. Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients.

Responsibilities

• Review and coordinate the authorization process for any services that require an authorization per payer guidelines.
• Coordinate, track and document all authorizations electronically.
• Provide oral and/or written communication related to authorization activity as appropriate.
• Provide coverage for schedules and pending cases for all payer groups as assigned.
• Must have strong knowledge of various payer guidelines for authorizations and have the ability to flex to all payer groups.

Qualifications

• High School Diploma or GED.
• Two or more years’ experience in obtaining insurance authorizations in a medical setting, and/or other relevant clerical or case management work in a medical office setting.
• Proficiency in MS Office Word, Excel, PowerPoint, and Outlook required.
• Valid state Driver’s License for travel to satellite offices and offsite meetings.
• Compliance with the company Driver Safety Operations and Motor Vehicle Records Check Policy is required.
• Medical Assistant or equivalent preferred but not required.
• Must pass background check, drug screening, and required vaccinations (influenza); medical marijuana cards not recognized.

Benefits

• Competitive salaries.
• Comprehensive benefits packages including tuition reimbursement.
• 401-K match.
• Pet insurance.
• Legal insurance.
• Professional opportunities.
• Career advancement.
• Training.