Radiation/Chemotherapy Preauthorization Specialist

Hematology Oncology Associates of CNY; Collamer (NY); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Life Insurance

Short-Term Disability

Long-Term Disability

401k / Pension

Tuition Reimbursement

Paid Holidays

Advanced PTO

Free Parking

Job summary

Hematology Oncology Associates of CNY (HOACNY) is seeking a full-time Preauthorization Specialist to join our clinical team at three NY locations. The role requires expertise in medical insurance benefits, preauthorizations, referrals, and payer communications, with a strong emphasis on accuracy and patient documentation.

We offer competitive salaries based on experience, potential stipends/bonuses, and a generous benefits package including medical, dental, life, disability, retirement plans,

Qualifications

• Experience with patient insurance benefits and preauthorizations.
• Familiarity with navigating insurance company websites.
• Ability to identify documentation needed for approvals.

Responsibilities

• Perform preauthorizations and referrals for services.
• Review patient insurance benefits and required documentation.
• Collaborate with team and payers to obtain approvals.

Skills

Medical insurance benefits knowledge

Preauthorization procedures

Referrals handling

Insurance websites navigation

Phone skills

Organization

Problem solving

Team oriented

Computer applications

Adaptability

Education

High school level education

2 years of college education preferred

Job description

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. If you are a highly motivated, team oriented individual looking to make a difference in your career.

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, as well as generous benefits package including medical, dental, life, STD, LTD, 401k/pension, tuition reimbursement, holidays, advanced PTO, etc. including 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, preauthorizations, 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