Oncology Authorization Specialist

St.-Joseph; Paterson (NJ); On-site; USD 52,000 - 68,000; Full time

Job summary

St.-Joseph in Paterson, NJ is seeking an Authorization Specialist to manage timely oncology treatment authorizations, verify insurance coverage, and provide clear cost estimates to patients. The role emphasizes minimizing delays, resolving denials, and maintaining compliance within the oncology revenue cycle, ensuring accurate workflows and patient financial transparency.

Candidates should understand payer requirements, documentation standards, and effective communication with patients and care

Responsibilities

• Verify insurance coverage for oncology treatments and procedures.
• Obtain necessary authorizations and maintain timely approvals.
• Provide clear, patient-friendly cost estimates to promote transparency and reduce financial uncertainty.

Job description

The Authorization Specialist ensures timely and accurate authorization for oncology-related treatments and procedures. This position requires a comprehensive understanding of insurance protocols, clinical requirements, and oncology treatment processes. Key responsibilities include verifying insurance coverage, obtaining necessary authorizations, and providing clear cost estimates to patients, thereby promoting transparency and reducing financial uncertainty. Additionally, the role focuses on minimizing delays, resolving denials, and maintaining compliance within the oncology revenue cycle.