Oncology Prior Authorization Specialist

Southwest Women's Oncology; Albuquerque (NM); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health benefits

401(k)

Paid time off

Professional development

Job summary

Southwest Women's Oncology + Optimum Infusion in Albuquerque, NM seeks a meticulous Prior Authorization Specialist to secure timely insurances authorizations for infusion therapies, procedures, and medications. You will collaborate with clinicians, nurses, schedulers, pharmacy, and billing to prevent delays and maintain compliant documentation.

We value attitude and aptitude, with emphasis on accurate, proactive follow-through and patient-centered service.

Qualifications

• High school diploma or equivalent required.
• 2+ years of prior authorization or healthcare revenue cycle experience preferred.
• Experience with oncology, infusion services, or surgical scheduling workflows helpful.
• Proficiency with EMR systems and payer portals expected.

Responsibilities

• Obtain prior authorizations for infusion therapies, surgeries, and oral medications.
• Submit requests via payer portals, electronic systems, phone, and fax with complete documentation.
• Track status and follow up with insurers to secure timely determinations.
• Ensure authorizations are in place prior to scheduled treatments and dispensing.

Skills

Attention to detail

Communication skills

Healthcare billing

EMR proficiency

Education

High school diploma or equivalent

Tools

EMR systems

Payer portals

Job description

Southwest Women's Oncology + Optimum Infusion in Albuquerque, NM seeks a meticulous Prior Authorization Specialist to secure timely insurances authorizations for infusion therapies, procedures, and medications. You will collaborate with clinicians, nurses, schedulers, pharmacy, and billing to prevent delays and maintain compliant documentation.

We value attitude and aptitude, with emphasis on accurate, proactive follow-through and patient-centered service.