Prior Authorization Specialist

New England Cancer Specialists; Westbrook (ME); Remote; USD 40,000 - 60,000; Full time

Job summary

New England Cancer Specialists seeks a full-time Remote Prior Authorization Specialist to manage non-clinical administrative tasks, ensuring positive patient experiences. The role involves obtaining insurance authorizations and scheduling procedures, requiring strong organizational and communication skills. Join a dedicated team committed to compassionate care for cancer patients.

Benefits

Competitive pay

Up to 3.4 weeks of Paid Time Off

10 paid holidays

Comprehensive insurance benefits

Tuition reimbursement

401(k)

Qualifications

• At least two years of healthcare experience.
• Knowledge of medical terminology.
• Experience with electronic medical records.

Responsibilities

• Obtain pre-authorization from insurance carriers.
• Schedule outpatient appointments.
• Communicate with clinical staff regarding approvals.

Skills

Customer Service

Organizational Skills

Problem-Solving Skills

Communication Skills

Education

High School Diploma/GED

Tools

Electronic Medical Records

Job description

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Join to apply for the Prior Authorization Specialist role at New England Cancer Specialists

Job Description

New England Cancer Specialists has an opportunity for a full-time Remote Prior Authorization Specialist. This position will join a team dedicated to providing excellent care and customer service. The Specialist will handle non-clinical administrative tasks such as obtaining authorizations from insurance, scheduling surgeries, scans, labs, and procedures, and ensuring positive patient experiences.

NECS offers competitive pay, up to 3.4 weeks of Paid Time Off in the first year, 10 paid holidays, and comprehensive insurance benefits starting the month after hire.

Our practice, with 18 oncologists and hematologists across Maine and New Hampshire, is committed to compassionate, high-quality care for cancer and blood disorder patients, emphasizing kindness, respect, and holistic support.

• Job Duties:
• Obtain pre-authorization from insurance carriers for procedures, scans, and labs via phone or website
• Schedule outpatient appointments
• Forward medical records to insurance
• Scan documents into patient charts
• Manage and resolve appointment conflicts
• Prioritize and complete tasks on time, update team members
• Communicate with clinical staff regarding approvals and denials
• Maintain confidentiality and document communications
• Demonstrate excellent customer service and teamwork skills

Travel: Rare

Required Experience:

• High School Diploma/GED
• At least two years of healthcare experience
• Knowledge of medical terminology and customer service skills
• Strong organizational and problem-solving skills
• Excellent written and verbal communication skills
• Experience with electronic medical records
• Knowledge of medical insurance preferred
• Knowledge of CPT and ICD-10 coding is a plus

Benefits: Competitive pay, medical, dental, vision, disability insurances, tuition reimbursement, generous PTO, holidays, 401(k)