About City of Hope

City of Hope is an independent biomedical research and treatment organization for cancer, diabetes and other life-threatening diseases.

Founded in 1913, City of Hope is a leader in bone marrow transplantation and immunotherapy such as CAR T cell therapy. City of Hope’s translational research and personalized treatment protocols advance care throughout the world. Human synthetic insulin, monoclonal antibodies and numerous breakthrough cancer drugs are based on technology developed at the institution.  AccessHope, a subsidiary launched in 2019 serves employers and their health care partners by providing access to City of Hope’s specialized cancer expertise.

A National Cancer Institute-designated comprehensive cancer center and a founding member of the National Comprehensive Cancer Network, City of Hope is ranked among the nation’s "Best Hospitals" in cancer by U.S. News & World Report and received Magnet Recognition from the American Nurses Credentialing Center. Its main campus is located near Los Angeles, with additional locations throughout Southern California, Arizona, Illinois and Georgia. 

Job Description:

Hours: Mon - Fri 8am -4.30pm or 8:30am - 5pm MST

This is a remote position

This position is responsible for the authorizations for medical services at CTCA.  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 communicated 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

Minimum Job Qualifications

Education: High school diploma/equivalent

Experience: Must have minimum of 2 years’ experience in this field or related field such as medical coding, financial counseling setting or similar service profession

Knowledge, Skills, Abilities:

• Solid knowledge of medical terminology, ICD9 codes, CPT/HCPC’s codes.

• Advanced written and verbal communication skills.

• Excellent organizational skills, ability to manage multiple priorities and responsibilities.

• Outstanding communication and customer service skills.

• Ability to utilize critical thinking and apply sound judgment and assessment skills for decision-making.

• Candidate must be proficient using a computer, using online websites and email Demonstrates the willingness to research, learn and to obtain knowledge for the performance of the position. Ability to utilize multiple systems within the organization as well as outside such as insurance authorization portals. 

• Ability to prioritize work assignments for efficiency and to meet timeframes for precertification. Must independently perform follow up of pending precertifications and communicate potential delays appropriately.

Preferred Attributes

• Previous oncology background preferred

Pay Range

Placement within the identified pay range is based on individual and market factors including, but not limited to, experience, education, credentials (including licenses and certifications), geographic location, market competition, skill set (including market availability of required skills), assigned/anticipated job tasks, and level of responsibility.  These factors are considered without regard to an individual’s status as a member of any protect group pursuant to federal, state, and/or local law.

City of Hope’s commitment to Diversity, Equity, and Inclusion

We believe diversity, equity and inclusion is key in serving our mission to provide compassionate patient care, drive innovative discovery, and advance vital education focused on eliminating cancer and diabetes in all of our communities.  Our commitment to Diversity, Equity and Inclusion ensures we bring the full range of skills, perspectives, cultural backgrounds, and experiences to our work -- and that our teams align with the people we serve in order to build trust and understanding.  We are dedicated to fostering a community that embraces diversity - in ideas, backgrounds, and perspectives; this is reflected in our work and represented in our people.

Visit:  Jobs.cancercenter.com to begin your journey.