Chemo Authorization Specialist | Prior Auth & Payer Liaison

US Oncology Network-wide Career Opportunities; Fairfax (VA); On-site; USD 42,000 - 65,000; Full time

Job summary

Virginia Cancer Specialists in Fairfax, VA, is hiring a Full Time Chemo Authorization Specialist to verify insurance eligibility, obtain authorizations, and support timely payments.

You will liaise with patients and payers, research denials, and assist with documentation, coding updates, and compliance in a busy cancer care environment. This role requires attention to detail and knowledge of payer guidelines to ensure smooth financial pathways for chemotherapy services.

Qualifications

• High school diploma or equivalent required; associates degree preferred.
• Two years medical insurance verification and prior authorization experience preferred.
• Billing and coding experience preferred.

Responsibilities

• Review, process and audit medical necessity for chemotherapy treatment documentation.
• Act as liaison between patients and payers to resolve reimbursement questions and obtain authorizations.
• Research denied services and identify resources for non-covered services to prevent denials.
• Provide support to physicians and staff with pathway documentation and payer issues.
• Update coding/payer guidelines for clinical staff and track reimbursement pathways.

Skills

Medical insurance verification

Pre-authorization

Billing and coding

Education

High school diploma or equivalent

Associate’s degree in Healthcare

LPN Virginia State License

Certified Pharmacy Technician

Job description

Virginia Cancer Specialists in Fairfax, VA, is hiring a Full Time Chemo Authorization Specialist to verify insurance eligibility, obtain authorizations, and support timely payments.

You will liaise with patients and payers, research denials, and assist with documentation, coding updates, and compliance in a busy cancer care environment. This role requires attention to detail and knowledge of payer guidelines to ensure smooth financial pathways for chemotherapy services.