Prior Authorization Specialist — Infusion Care

ummh; Worcester (MA); On-site; USD 29,000 - 40,000; Full time

Job summary

UMass Memorial Health is seeking a Prior Authorization Specialist to support oncology and general infusion clinics within the Pharmacy Business Office. You will review medical necessity, coordinate with insurers, and ensure timely prior authorizations are in place.

The role requires 2-3 years of medical secretarial/administrative support experience, proficiency with Microsoft Office, and strong customer service skills in a hospital setting. Employment is on-site with daytime hours.

Qualifications

• High School diploma required.
• 2-3 years of medical secretarial/administrative support experience.
• Microsoft Office and internet skills required.
• Strong customer service and teamwork skills.
• Experience with All Scripts, IDX preferred.

Responsibilities

• Complete prior authorization reviews for general and oncology infusions.
• Coordinate with insurers, providers, and departments to resolve authorizations.
• Manage Incoming Patient Report and renewals to ensure continuous coverage.
• Produce correspondence, reports and maintain confidential files.

Skills

Medical secretarial experience

Customer service

Teamwork

Education

High School Diploma

Tools

Microsoft Office

Job description

UMass Memorial Health is seeking a Prior Authorization Specialist to support oncology and general infusion clinics within the Pharmacy Business Office. You will review medical necessity, coordinate with insurers, and ensure timely prior authorizations are in place.

The role requires 2-3 years of medical secretarial/administrative support experience, proficiency with Microsoft Office, and strong customer service skills in a hospital setting. Employment is on-site with daytime hours.