Radiation Oncology Authorization Specialist

Radiation Billing Solutions Inc; United States; On-site; USD 42,000 - 66,000; Full time

Job summary

Radiation Billing Solutions Inc. is seeking an Authorization Coordinator to manage radiation oncology authorizations, handle denials, and submit appeals as needed. The role requires multitasking, meticulous record-keeping, and adherence to ENCORE values.

Responsibilities include submitting referrals and precertifications, monitoring timelines, and communicating with physicians and payers to ensure timely approvals. Onsite presence at client locations may be required.

Qualifications

• High School Diploma or equivalent required.
• Minimum 1 year experience with prior authorization services.
• Oncology experience is a plus.
• Knowledge of ICD10, CPT, and HCPCS codes and rules for various plans.
• Excellent verbal and written communication skills.

Responsibilities

• Submit referrals, precertifications and/or authorizations for radiation oncology services from schedules two weeks out.
• Aim for authorization to be approved within 5 business days after notification.
• Review queues and schedules daily to identify patients needing authorization per payer rules.
• Confirm medical necessity when no authorization is required.
• Communicate authorization requirements with physicians and clinical staff.
• Identify and address denied authorizations, including appeals and resolutions.
• Notify billing on special instructions (e.g., SNF or inpatients) and maintain low error rates.
• Document authorization activity across systems for reporting and tracking.
• Build payer relationships to speed up initial approvals and reduce denials.
• Participate in client meetings and suggest process improvements.

Skills

Self-motivated

Reliable

Verbal and written communication

Microsoft Office

Organizational skills

Attention to detail

Software applications

Analytical skills

Education

High School Diploma or equivalent

Tools

Microsoft Office Suite

Job description

Radiation Billing Solutions Inc. is seeking an Authorization Coordinator to manage radiation oncology authorizations, handle denials, and submit appeals as needed. The role requires multitasking, meticulous record-keeping, and adherence to ENCORE values.

Responsibilities include submitting referrals and precertifications, monitoring timelines, and communicating with physicians and payers to ensure timely approvals. Onsite presence at client locations may be required.