RadOnc Prior Authorization Specialist (Hybrid)

AC3, Inc; South Bend (IN); Hybrid; USD 28,000 - 32,000; Full time

Job summary

AC3, Inc. is seeking aMedical Prior Authorization Specialist for a hybrid schedule in South Bend, IN. The role centers on obtaining prior authorizations for radiology, radiation oncology, and chemotherapy services, with strong emphasis on payer requirements and medical necessity checks.

The candidate should have RadOnc exposure or related medical office experience, superior communication skills, and proficiency with EMR and Microsoft Office. Onsite training plus hybrid remote work is offered.

Qualifications

• High school diploma or GED.
• Prior radiation oncology experience.
• Medical office experience or medical terminology preferred.
• Detail oriented with strong problem-solving abilities.
• Proficient in Microsoft Office.

Responsibilities

• Obtain authorizations for radiology, radiation oncology, chemotherapy, and related services.
• Contact payers to obtain prior authorization.
• Review clinical information in EMR to determine coverage and medical necessity.
• Enter authorization details into PM/EMR systems.
• Communicate with providers and patients to resolve authorization issues.

Skills

Communication skills

Attention to detail

Problem solving

Microsoft Office

EMR software

Education

High school diploma or GED

Tools

EMR systems

Microsoft Office

Job description

AC3, Inc. is seeking aMedical Prior Authorization Specialist for a hybrid schedule in South Bend, IN. The role centers on obtaining prior authorizations for radiology, radiation oncology, and chemotherapy services, with strong emphasis on payer requirements and medical necessity checks.

The candidate should have RadOnc exposure or related medical office experience, superior communication skills, and proficiency with EMR and Microsoft Office. Onsite training plus hybrid remote work is offered.