Oncology Infusion Authorization Specialist

AdventHealth; Denver (CO); On-site; USD 29,000 - 47,000; Full time

Benefits offered by this job

Benefits from Day One

Paid Time Off from Day One

403-B Retirement Plan

4 Weeks 100% Paid Parental Leave

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Job summary

AdventHealth in Denver seeks a detail‑oriented specialist to manage medication-related prior authorizations. You will verify insurance requirements, obtain clinical data, and submit documentation within Epic EMR, ensuring timely approvals.

The role requires 1+ year healthcare experience, ICD-10/CPT knowledge, and strong customer service. Hybrid or on‑site options may apply; caseload supports patient cost estimates and billing coordination.

Qualifications

• Medical terminology required.
• Insurance eligibility and verification experience required.
• Minimum of 1 year health care experience required.
• Knowledge of ICD-10 and CPT coding required.
• Good customer service skills required.
• Computer skills and willingness to use technology required.
• Epic knowledge preferred.

Responsibilities

• Verify prior authorization requirements based on patient insurance.
• Obtain clinical information from patient chart for authorizations.
• Submit documentation and track authorization status.
• Document authorization details in Epic EMR.
• Coordinate with providers, nursing, pharmacy, and front desk on authorization status.
• Communicate patient and clinic billing questions to Revenue Management.

Skills

Medical terminology

Insurance eligibility

Healthcare experience

ICD-10/CPT coding

Customer service

Computer skills

Epic knowledge

Education

Associate

Bachelor's

High School Grad or Equiv

Job description

AdventHealth in Denver seeks a detail‑oriented specialist to manage medication-related prior authorizations. You will verify insurance requirements, obtain clinical data, and submit documentation within Epic EMR, ensuring timely approvals.

The role requires 1+ year healthcare experience, ICD-10/CPT knowledge, and strong customer service. Hybrid or on‑site options may apply; caseload supports patient cost estimates and billing coordination.