Authorization Specialist | Oncology

About the role

Are you passionate about ensuring patients receive the care they need? Do you excel in a fast-paced environment where attention to detail is crucial? If so, we invite you to join our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we are dedicated to providing exceptional oncology care to our community. As an Authorization Specialist, you will play a vital role in ensuring patients have access to the care they deserve. We are looking for someone who shares our commitment to excellence and making a difference.

Responsibilities

• Manage denials and oversee all revenue functions.
• Demonstrate a high standard of excellence in all work.
• Utilize expertise in authorization-related activities, including pre-authorizations, notifications, edits, and denials.
• Prior authorization responsibilities:
  1. Reviews and interprets medical record documentation for patient history, diagnosis, and previous treatment plans to pre-authorize insurance plan determined procedures to avoid financial penalties to patient, provider and facility.