Remote Prior Authorization Specialist - Join the Fight Against Cancer!

Embark on a rewarding career with The US Oncology Network, a leading organization in community-based oncology care. We are seeking a skilled and compassionate Prior Authorization Specialist to join our team in a remote capacity. As a key member of our team, you will play a vital role in ensuring that patients receive the necessary treatments and care. This is a full-time opportunity with a competitive salary range of $20-$24 hourly, plus an extensive benefits package, including medical, dental, vision, 401(k), and paid time off.

Job Overview:

• Employment Type: Full-time
• Location: Remote (Central Hours)
• Benefits: Medical, Dental, Vision, 401(k), Paid Time Off, and more
• Pay Range: $20-$24 hourly

Job Scope:

As a Prior Authorization Specialist, you will be responsible for reviewing chemotherapy regimens, obtaining necessary pre-certifications, and researching denied services to ensure timely reimbursement. You will work closely with our nursing and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans. Your expertise will help us navigate the complex world of oncology care, ensuring that our patients receive the best possible treatment.

Responsibilities:

• Review, process, and audit medical necessity for patient chemotherapy treatments
• Communicate with nursing and medical staff regarding insurance plan restrictions and requirements
• Provide prompt feedback to physicians and management regarding pathway documentation issues and payer issues
• Update coding and payer guidelines for clinical staff
• Obtain insurance authorization and pre-certification for chemotherapy services
• Research alternative resources for non-covered chemotherapy services
• Maintain a good working knowledge of chemotherapy authorization requirements and regulatory guidelines

Qualifications:

• High school degree or equivalent; Associate's degree in Healthcare preferred
• Minimum 3 years of medical insurance verification and authorization experience

What We Offer:

• Competitive salary and benefits package
• Opportunity to work with a leading organization in community-based oncology care
• Collaborative and dynamic work environment
• Professional development and growth opportunities

How to Apply:

If you are a motivated and compassionate individual with a passion for delivering exceptional patient care, we encourage you to apply. Please submit your application today and join our team in the fight against cancer!

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