Drug Authorization and Patient Access Specialist

Astera Cancer Care; Nashville (TN); On-site; USD 34,000 - 60,000; Full time

Job summary

OneOncology in Nashville, TN seeks an Insurance Authorization Specialist to manage pre-authorizations for physician orders and liaise with insurance carriers to secure coverage before treatment.

You will educate patients on their benefits, determine financial liability, and collaborate with patient accounting and clinical staff to ensure timely documentation and smooth reimbursement processes.

Qualifications

• High School diploma or equivalent is required.
• Experience in medical insurance and authorization processes preferred.
• Ability to travel to satellite clinics when necessary.

Responsibilities

• Obtains pre-authorizations for physician orders as required by insurance carriers.
• Communicates with physicians and clinical staff on reimbursement and pre-certification issues.
• Coordinates and liaises with Patient Accounting for documentation within required timeframes.
• Educates patients on insurance coverage, including deductibles, copays, and out-of-pocket costs.
• Maintains up-to-date documentation in the EMR and patient management systems.

Skills

Communication

Organizational skills

Customer service

MS Office proficiency

Education

High School diploma or equivalent

Tools

MS Word

MS Excel

MS Outlook

EMR/EHR systems

Job description

OneOncology in Nashville, TN seeks an Insurance Authorization Specialist to manage pre-authorizations for physician orders and liaise with insurance carriers to secure coverage before treatment.

You will educate patients on their benefits, determine financial liability, and collaborate with patient accounting and clinical staff to ensure timely documentation and smooth reimbursement processes.