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Rep, Financial Clearance

Role overview

Qualifications

  • Strong knowledge of ICD9/10 diagnosis codes
  • Strong knowledge of CPT codes
  • Excellent time management and organizational skills
  • Ability to provide clear and concise communication

Responsibilities

  • Obtain accurate and timely decisions from payers regarding authorizations
  • Approve, pend or deny services for patients according to policy
  • Handle authorizations for medical procedures and imaging services
  • Manage authorizations for surgical cases and advanced treatments

Key facts

Other skills

  • Time Management
  • Organizational Skills
  • Non-Verbal Communication

About the company

CTCA logo

CTCA

Professional & Trade Associations

Company details

IndustryProfessional & Trade Associations
Company size1,001-5,000

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Job description

Rep, Financial Clearance

About City of Hope,
City of Hope's mission is to make hope a reality for all touched by cancer and diabetes. Founded in 1913, City of Hope has grown into one of the largest and most advanced cancer research and treatment organizations in the U.S., and one of the leading research centers for diabetes and other life-threatening illnesses. City of Hope research has been the basis for numerous breakthrough cancer medicines, as well as human synthetic insulin and monoclonal antibodies. With an independent, National Cancer Institute-designated comprehensive cancer center that is ranked top 5 in the nation for cancer care by U.S. News & World Report at its core, City of Hope’s uniquely integrated model spans cancer care, research and development, academics and training, and a broad philanthropy program that powers its work. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas.

The successful candidate:

This position is responsible for the authorizations for medical services at City of Hope Chicago, Atlanta, and Phoenix. This role will obtain accurate and timely decisions from payers regarding authorizations of medical procedures, high tech imaging services, surgical cases, personalized genomic medicine, technically advanced radiation therapy treatments, chemotherapy and any other procedure requiring authorization.  This position requires excellent time management and organizational skills as well as the ability to provide clear and concise communicates, both verbally and written. This position is empowered to approve, pend or deny services for our population of patients according to policy. This position requires strong knowledge of ICD9/10 diagnosis codes as well as CPT codes.


City of Hope is an equal opportunity employer.


City of Hope employees pay is based on the following criteria:  work experience, qualifications, and work location.


Please note: City of Hope is committed to a safe and transparent hiring experience. Please be aware that scammers may attempt to impersonate our organization through fake job postings, emails or interviews.

  • Apply only through our official website or trusted partner platforms.
  • City of Hope will never request payment or fees at any stage of the hiring process.
  • We will not request sensitive personal or financial information prior to the acceptance of a formal offer.
  • All communications will come from official @coh.org email addresses.
  • Interviews are conducted only through approved, professional channels.
  • Be cautious of unsolicited communications, urgent requests or opportunities that seem inconsistent with standard hiring practices.
  • If you receive any suspicious communication, please report it to careers@coh.org.

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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