Oncology Prior Authorization Specialist

Astera Cancer Care; Huntsville (AL); On-site; USD 38,000 - 52,000; Full time

Job summary

Clearview Cancer Institute in north Alabama is seeking a Prior Authorization Specialist to ensure timely and accurate health plan approvals for oncology care.

You will track, obtain, and extend authorizations, communicate with physicians and RNs, review treatment plans against authorizations, and maintain efficient billing workflows in a busy clinic.

This role supports patient care by reducing delays and coordinating with carriers, doctors, and the billing team.

Qualifications

• Experience obtaining health plan prior authorizations via online portals, phone or fax.
• Ability to navigate health plan websites for medical policy review.
• Must be organized and efficient in a fast-paced environment.
• Ability to follow directions and/or work independently.
• Oncology experience and familiarity with oncology medications are preferred.

Responsibilities

• Track, obtain, and extend authorizations from carriers in a timely manner.
• Check daily/weekly/monthly schedules for prior authorizations and request necessary authorizations.
• Communicate with physicians and RNs regarding treatment and authorizations.
• Verify prior authorizations align with patient treatment plans and insurance payments.
• Other duties as assigned.

Skills

Health insurance plans knowledge

Prior authorization experience

Portal navigation

Organization

Prioritization

Independent work

Education

High school diploma or equivalent

Certified Pharmacy Technician preferred

Job description

Clearview Cancer Institute in north Alabama is seeking a Prior Authorization Specialist to ensure timely and accurate health plan approvals for oncology care.

You will track, obtain, and extend authorizations, communicate with physicians and RNs, review treatment plans against authorizations, and maintain efficient billing workflows in a busy clinic.

This role supports patient care by reducing delays and coordinating with carriers, doctors, and the billing team.