Oncology Authorization Specialist — Mon-Fri Impact

Socket.dev; Mechanicsburg (Cumberland County); On-site; USD 45,000 - 65,000; Full time

Job summary

UPMC Hillman Cancer Center in Mechanicsburg is seeking an Authorization Specialist to manage pre-authorizations, denials, and related revenue functions. You will review records, apply payer criteria, and ensure timely approvals to support patient care.

The role requires medical terminology knowledge, coding proficiency, and strong communication. Regular hours, Monday–Friday, on-site with a compassionate oncology team.

Qualifications

• Requires high school diploma or equivalent with 2 years in a medical setting, or an associate's with 1 year.
• Completion of a medical terminology course is required.
• Proficient in medical terminology, ICD-9/CPT coding, and office software.
• Excellent communication and interpersonal skills; ability to analyze data and exercise judgment.

Responsibilities

• Manage prior authorizations, notifications, edits, and denials.
• Review medical records to determine medical necessity per payer criteria.
• Code diagnoses and procedures using ICD-9-CM, CPT, and HCPCS.
• Assist with referrals and timely authorization to avoid treatment delays.
• Collaborate with Physician Services and hospital staff to ensure compliance.

Skills

Medical terminology

ICD-9 CPT coding

MS Office

Communication skills

Analytical thinking

Education

High School diploma or equivalent

Associate's degree

Bachelor's degree preferred

Medical terminology course

Job description

UPMC Hillman Cancer Center in Mechanicsburg is seeking an Authorization Specialist to manage pre-authorizations, denials, and related revenue functions. You will review records, apply payer criteria, and ensure timely approvals to support patient care.

The role requires medical terminology knowledge, coding proficiency, and strong communication. Regular hours, Monday–Friday, on-site with a compassionate oncology team.