Chemotherapy Authorization Specialist: Payer Liaison

US Oncology Inc.; Merrifield (VA); On-site; USD 42,000 - 56,000; Full time

Job summary

Virginia Cancer Specialists is seeking a Full Time Chemo Authorization Specialist for our Administrative Office in Fairfax, VA. You will verify insurance eligibility, benefits, and prior authorization while researching denied services to ensure timely payments, acting as a liaison between patients and payers.

Responsibilities include processing chemotherapy authorization, assisting patients with resources, and updating staff on payer guidelines.

Qualifications

• High school degree or equivalent required; related associates degree preferred.
• Two years medical insurance verification and prior authorization experience preferred.
• Billing and coding experience preferred.
• LPN license or pharmacy technician certification preferred.

Responsibilities

• Verify insurance eligibility and benefits for chemotherapy services.
• Obtain insurance authorization and pre-certification for chemotherapy orders.
• Research denials and assist patients with resources and payer questions.
• Maintain confidentiality and comply with regulations.

Skills

Insurance verification

Prior authorization

Billing and coding

Education

High School Diploma or equivalent

Associate's degree in Healthcare

LPN Virginia License

Certified Pharmacy Technician

Job description

Virginia Cancer Specialists is seeking a Full Time Chemo Authorization Specialist for our Administrative Office in Fairfax, VA. You will verify insurance eligibility, benefits, and prior authorization while researching denied services to ensure timely payments, acting as a liaison between patients and payers.

Responsibilities include processing chemotherapy authorization, assisting patients with resources, and updating staff on payer guidelines.