Radiation/Chemotherapy Preauthorization Specialist

Hematology Oncology Associates Of Central New York; City of Syracuse (NY); On-site; USD 24,000 - 34,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Life insurance

STD

LTD

401k/pension

Tuition reimbursement

Holidays

Advanced PTO

Free parking

Job summary

Hematology Oncology Associates of CNY is seeking a full-time Preauthorization Specialist to join our professional team. The role supports cancer care services across three locations in East Syracuse, Camillus and Auburn, with day hours Monday through Friday.

The position requires knowledge of medical insurance benefits and preauthorization processes, including what patient documentation is needed to obtain approvals. Peer-to-peer/appeal processes are also part of the role.

Qualifications

• Experience with medical insurance benefits and preauthorization processes.
• Familiarity with navigating insurance company websites.
• Strong phone skills and organization are necessary.
• Ability to identify problems and provide solutions.
• Team oriented and professional attitude.
• Experience with billing and coding preferred.

Responsibilities

• Handle patient insurance benefits and preauthorizations.
• Work with various insurance companies and Medicare for approvals.
• Understand documentation required for services and submit accordingly.
• Navigate peer-to-peer/appeal processes when needed.

Skills

Insurance preauthorization

Phone skills

Organization

Teamwork

Computer skills

Adaptability

Billing knowledge

Education

High school diploma

2 years college preferred

RHIA

RHIT

CPC

CCS

Job description

Job Type

Full-time

Description

Hematology Oncology Associates of CNY (HOACNY), voted one of Central New York's Best Places to Work, is looking for a full time Preauthorization Specialist to join our professional team. HOACNY provides cancer care services, Monday through Friday, day hours at three convenient locations in East Syracuse, Camillus and Auburn.

The position requires a clear understanding of medical insurance benefits, as well as, experience in obtaining medical insurance benefits, from the various insurance companies, including Medicare. Must have in depth knowledge of the insurance industry preauthorization process, including what patient documentation is needed, to get an approval for the services. Also need to understand the peer to peer/appeal process if the preauthorization is not approved.

We offer a competitive salary based on experience, starting rate is for a new grad those with additional experience will receive a higher salary, including stipends/bonuses.

• medical
• dental
• life
• STD
• LTD
• 401k/pension
• tuition reimbursement
• holidays
• advanced PTO
• convenient free parking

Hematology Oncology Associates of CNY is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

HOA is also committed to compliance with all fair employment practices regarding citizenship and immigration status.

Requirements

KNOWLEDGE, SKILLS & ABILITIES:

• Experienced with working with patient's insurance benefits, preauthorization's, referrals, as well as, familiarity with navigating the insurance company websites.
• Excellent phone skills and organization are also necessary.
• Must be skilled in identifying/investigating problems and arriving at a solution.
• Needs to work well in a team oriented environment and is professional.
• Skill in computer applications is necessary.
• An ability to accept change is required.
• Preferred but not required to understand the billing claim to insurance companies.

EDUCATION:

High school level education required / 2 years of college level education preferred

EXPERIENCE:

1 year medical billing and coding, helpful but not required

CERTIFICATE/LICENSE:

None required / RHIA, RHIT, CPC, CCS preferred

Salary Description

$21.00+