Onsite Pre-Certification Specialist for Oncology

US Oncology Inc.; Knoxville (TN); On-site; USD 36,000 - 48,000; Full time

Job summary

Tennessee Cancer Specialists is seeking a detail-oriented Pre-Certification Specialist in Knoxville, TN. You will obtain prior authorization for treatments, communicate with payors, and support clinic teams to prevent treatment delays.

The role emphasizes strong customer service, familiarity with payor portals and EHR systems, and collaboration with physicians and staff to overcome authorization barriers. Onsite work required.

Qualifications

• High school diploma or equivalent required.
• An Associate's degree in healthcare or business is preferred.
• Minimum two years of medical insurance verification and prior authorization experience required.
• Billing and coding experience is a plus.

Responsibilities

• Obtain prior authorization for patient treatments from insurance payors.
• Serve as the primary contact between clinics and payors to resolve issues.
• Communicate effectively with physicians, management, and staff about restrictions and requirements.
• Provide timely feedback and troubleshooting to ensure no delays in treatment.
• Support clinic teams with additional duties as needed.

Skills

Customer service

Payor communications

EHR systems

Payor portals

MS Office

Education

High school diploma

Associate's degree in healthcare / business

Tools

Microsoft Office

Job description

Tennessee Cancer Specialists is seeking a detail-oriented Pre-Certification Specialist in Knoxville, TN. You will obtain prior authorization for treatments, communicate with payors, and support clinic teams to prevent treatment delays.

The role emphasizes strong customer service, familiarity with payor portals and EHR systems, and collaboration with physicians and staff to overcome authorization barriers. Onsite work required.