Prior Authorization Specialist - Healthcare

The US Oncology Network; Knoxville (TN); Vor Ort; USD 42.000 - 54.000; Vollzeit

Zusammenfassung

Tennessee Cancer Specialists is seeking a Pre-Certification Specialist to help secure prior authorizations from insurers for prescribed treatments. You will collaborate with providers and clinic staff to keep patient care moving smoothly.

The role emphasizes strong customer service, payor communications, and problem-solving to minimize treatment delays while maintaining a patient-focused approach.

Qualifikationen

• High school diploma or equivalent required.
• Associate degree in healthcare or business field preferred.
• Minimum two years of medical insurance verification and authorization experience.

Aufgaben

• Obtain prior authorization from insurance carriers for medications and treatments.
• Communicate with payors, clinicians, and staff to avoid delays in care.
• Assist providers with the pre-certification and authorization process.
• Answer questions and troubleshoot payor issues related to authorizations.
• Research alternatives and trends to obtain authorizations when needed.

Ausbildung

High school diploma or equivalent

Associate’s degree in Healthcare or Business-related field (preferred)

Tools

Electronic Health Records (EHR)

Payor portals

Microsoft Office

Jobbeschreibung

Tennessee Cancer Specialists is seeking a Pre-Certification Specialist to help secure prior authorizations from insurers for prescribed treatments. You will collaborate with providers and clinic staff to keep patient care moving smoothly.

The role emphasizes strong customer service, payor communications, and problem-solving to minimize treatment delays while maintaining a patient-focused approach.