Prior Authorization Specialist - Epic & Payer Coordination

Lexingtononcology; Columbia (SC); On-site; USD 35,000 - 50,000; Full time

Benefits offered by this job

Day ONE medical, dental and life insurance

403(b) match plan

Employer paid life insurance

Short-term and long-term disability coverage

Student loan forgiveness

Job summary

Lexingtononcology in Columbia, South Carolina, is seeking a full-time professional responsible for authorizing patient referrals prior to appointments. The ideal candidate will utilize systems like Epic and Experian RTA while ensuring all clinical information is verified for seamless authorization processes.

Minimum qualifications include a High School Diploma and at least 6 months of relevant referral or authorization experience. Exceptional knowledge in medical terminology and insurance is crucial. A comprehensive benefits package, including health insurance on day one, is offered.

Qualifications

• 6 months of referral and/or authorization experience.
• Strong knowledge of medical terminology and insurance processes.

Responsibilities

• Authorize referrals prior to patient appointments.
• Verify clinical information for authorization processing.
• Communicate updates to appropriate departments.

Skills

Strong Medical Terminology

Insurance Knowledge

ICD-10 knowledge

CPT Coding knowledge

Education

High School Diploma or Equivalent

Tools

Epic Referral Work Queues

Experian Real Time Authorization (RTA)

Job description

Lexingtononcology in Columbia, South Carolina, is seeking a full-time professional responsible for authorizing patient referrals prior to appointments. The ideal candidate will utilize systems like Epic and Experian RTA while ensuring all clinical information is verified for seamless authorization processes.

Minimum qualifications include a High School Diploma and at least 6 months of relevant referral or authorization experience. Exceptional knowledge in medical terminology and insurance is crucial. A comprehensive benefits package, including health insurance on day one, is offered.