Oncology Revenue Cycle Pro: Claims & Authorizations

Knoxville Hospital and Clinics; Knoxville (IA); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Flexible spending accounts

Retirement plan with company match up

Paid holidays

Vacation and sick time

Employee life, AD&D, disability

Job summary

Knoxville Hospital and Clinics in Knoxville, IA is seeking an Oncology Revenue Cycle Specialist to manage the end-to-end revenue cycle for oncology services, including verification, prior authorizations, billing, and denial management.

This full-time role collaborates with oncology providers, nursing, infusion, pharmacy, scheduling, and payers to ensure timely financial clearance and accurate claim submission, supporting patient access to cancer treatment.

Qualifications

• Preferred two years' experience in healthcare with knowledge of insurance, authorization, revenue cycle operations
• Mandatory Reporter training certification, or completion within 30 days of hire
• Knowledge of medical/healthcare and insurance terminology
• Exceptional customer service skills required
• Adequate written and oral communication skills and ability to work independently with minimal supervision
• Required to complete all annual competency training and maintain licensure/certification

Responsibilities

• Serve as the primary revenue cycle resource for oncology services, managing insurance verification, prior authorizations, billing, reimbursement follow-up, and denial resolution
• Verify insurance eligibility, benefits, and coverage requirements for oncology treatments and related services
• Obtain and track prior authorizations for chemotherapy, immunotherapy, infusion therapies, and other oncology services
• Coordinate with providers, nursing, pharmacy, and payers to resolve authorization and reimbursement issues
• Review, submit, and follow oncology claims to ensure accurate and timely reimbursement
• Investigate and resolve claim denials, underpayments, and billing edits, including preparation of appeals when necessary
• Monitor outstanding accounts and payer responses to support timely resolution
• Maintain documentation related to authorizations, payer communications, billing activity, and reimbursement outcomes
• Stay current on payer requirements and industry practices affecting oncology services
• Participate in initiatives to enhance patient access to cancer care and support financial performance
• Complete medical records import for oncology patients into EMR for prior authorization and billing functions
• Other duties as assigned

Skills

Insurance verification

Prior authorization

Billing

Denial management

Customer service

Written and oral communication

Education

High school diploma or GED

Tools

EMR

Billing software

Job description

Knoxville Hospital and Clinics in Knoxville, IA is seeking an Oncology Revenue Cycle Specialist to manage the end-to-end revenue cycle for oncology services, including verification, prior authorizations, billing, and denial management.

This full-time role collaborates with oncology providers, nursing, infusion, pharmacy, scheduling, and payers to ensure timely financial clearance and accurate claim submission, supporting patient access to cancer treatment.