Prior Authorization Specialist

SCIO Management Solutions; Kingsport (TN); Hybrid; Full time

Job summary

A leading revenue cycle company is seeking an Oncology Authorization Specialist to manage outpatient diagnostic testing and chemotherapy authorizations. The role requires strong organizational skills, communication abilities, and prior oncology experience. This position offers flexibility with remote or in-office options.

Benefits

IRA matching

Paid time off

Qualifications

• 1+ year(s) of Oncology Prior Authorization experience required.
• Strong skills in working with computers and communication equipment.

Responsibilities

• Conduct daily interactions demonstrating a positive attitude.
• Obtain pre-authorizations for diagnostic testing and treatment.

Skills

Communication

Organizational Skills

Problem-Solving

Customer Service

Education

High School diploma or equivalent

Tools

MS Word

Excel

Outlook

Job description

Direct message the job poster from SCIO Management Solutions

20+ years experience in Hematology/Oncology/Infusion services managing Revenue Cycle and overseeing office. We are hiring!

Job type: Oncology Authorization Specialist

Job Summary: Authorization Specialist will conduct daily interactions in a manner that demonstrates a positive and organized attitude and effectively models the organization’s service philosophy and values. They will be responsible for verifying that all processes are completed efficiently and completely, and ensuring compliance with HIPAA privacy standards.

Job Description:

The Authorization Specialist role is responsible for all administrative aspects of outpatient diagnostic testing and chemotherapy and administration authorization. This role will ensure patients’ insurance requirements for reimbursement before testing or treatment are met. It involves obtaining pre-authorizations for Physician Orders for diagnostic testing or treatment as required by the patient’s insurance carrier. Maintain in-depth knowledge of the authorization process.

Obtain pre-authorizations for Physician Orders for diagnostic testing or treatments/Chemotherapy as required by the patient’s insurance carrier.

Job Qualifications:

• Strong skills in working with computers and communication equipment
• Skills in establishing and maintaining effective working relationships with staff members and clients/Physicians
• Oncology experience is required
• Knowledge of medical terminology
• Knowledge of computer software programs including but not limited to: Word, Outlook, EMR, Selected facility software system
• Strong organizational skills and keen attention to detail
• Must be motivated
• Must be dependable

Required Qualifications:

• High School diploma or equivalent
• 1+ year(s) of Oncology Prior Authorization experience
• Medical insurance background preferred
• Attendance is an essential job function
• Ability to work effectively with all levels of management, Physicians, and colleagues
• Ability to demonstrate initiative and mature judgment
• Proficiency in end-user computer applications (MS Word, Excel, Outlook), database, and medical information systems
• Strong customer service skills
• Ability to utilize websites, portals, and electronic options to increase efficiency
• Ability to follow oral and written instructions
• Problem-solving skills using creative thinking and data analysis
• Effective verbal and written communication skills
• Multi-tasking, organizational skills, and attention to detail
• Knowledge of Hospice and other payer requirements
• Knowledge of office procedures, medical practice, and medical terminology

Company Information:

We are a revenue cycle company that brings expertise to medical practices. We seek talented and highly motivated individuals who demonstrate a natural desire to improve and strengthen.

Job Type: Full-time

Pay: $18.00 - $28.00 per hour

Expected hours: Full time

• IRA matching
• Paid time off

Schedule:

• Monday to Friday
• Remote or in-office

Seniority level

• Entry level

Employment type

• Full-time