Prior Authorization Specialist – Oncology & Specialty Care

Relicore; North Augusta (SC); On-site; USD 25,000 - 39,000; Full time

Job summary

AO Multispecialty Clinic is seeking a dedicated Prior Authorization Specialist to join our Billing Department. You will streamline authorizations, review patient information, and collaborate with our providers to secure approvals for procedures and referrals.

You will maintain accurate records, support scheduling, and ensure timely processing in a fast-paced multispecialty environment. The role emphasizes attention to detail and teamwork to deliver seamless patient care.

Qualifications

• 1-2 years of Prior Authorization experience.
• Solid understanding of medical terminology to facilitate effective communication and documentation.
• Attention to detail to ensure accuracy in all tasks.
• Collaborative spirit and ability to work well with others in a fast-paced environment.

Responsibilities

• Streamline patient care: work with specialists to ensure timely authorizations and referrals for appointments and procedures.
• Review and analyze patients' medical histories and insurance coverage to secure necessary approvals.
• Collaborate with referring providers to gather information required for authorization.
• Maintain accurate records by inputting and updating patient information in systems.
• Proactively monitor scheduling and address potential issues before they impact care.
• Complete documentation to support billing and clinic finances.
• Support the team with clerical tasks as needed.

Skills

Prior Authorization

Attention to detail

Team player

Medical terminology

Job description

AO Multispecialty Clinic is seeking a dedicated Prior Authorization Specialist to join our Billing Department. You will streamline authorizations, review patient information, and collaborate with our providers to secure approvals for procedures and referrals.

You will maintain accurate records, support scheduling, and ensure timely processing in a fast-paced multispecialty environment. The role emphasizes attention to detail and teamwork to deliver seamless patient care.