Prior Authorization Specialist - Radiation Oncology

Responsibilities

• Initiates prior authorizations for medical procedures, tests, and prescriptions as requested by staff, providers, and/or insurers.
• Documents all prior authorization activities and records activity in the practice management system.
• Prioritizes and organizes all prior authorization activities.
• Serve as liaison between patient and insurer and patient and practice.
• Work on denials and write-offs.
• Prints and reviews the appointment scheduler up to three (3) days in advance to ensure proper obtaining of authorizations, pre-certifications and referrals prior to services being rendered for patients as required by the different insurance plans/carriers.
• Identifies self-pay patients.
• Identifies and resolves problems within the scope of the job duties.
• Notifies appropriate parties (management) of any situation or issue that is out of the ordinary.

  Qualifications

  • Education: High school diploma or equivalent.
  • Experience: 2 years minimum working with insurance authorization with knowledge of CPT and ICD-10 coding practices and medical terminology.
  • Experience: Working with oncology strongly preferred.

    Pay

    Commensurate with experience.

    Schedule

    Monday-Friday