Oncology Authorization & Denial Specialist

Carle Health; Urbana (IL); On-site; USD 28,000 - 45,000; Full time

Job summary

Carle Health in Urbana, IL is seeking a Cancer Services Specialist to manage pre-authorizations, insurance inquiries, and appeals, ensuring compliance with accreditation standards for CoC and NAPBC across centers in Urbana and Normal.

You will coordinate cancer conferences, track survey data, and assist with reporting and committee meetings, helping reduce denials and support accreditation readiness through accurate documentation and timely communication with payers and staff.

Responsibilities

• Assumes primary responsibility in working with the third party payer for screening and authorizations
• Obtains, documents, verifies, and follows up on insurance authorizations and eligibility
• Coordinates Administrative Cancer Committee Meetings and cancer conferences
• Tracks cancer conference discussions for ACS reporting

Job description

Carle Health in Urbana, IL is seeking a Cancer Services Specialist to manage pre-authorizations, insurance inquiries, and appeals, ensuring compliance with accreditation standards for CoC and NAPBC across centers in Urbana and Normal.

You will coordinate cancer conferences, track survey data, and assist with reporting and committee meetings, helping reduce denials and support accreditation readiness through accurate documentation and timely communication with payers and staff.