Remote Authorization Specialist II - Healthcare Infusions

Saint Francis Health System; Oklahoma City (OK); Hybrid; USD 38,000 - 54,000; Full time

Job summary

Saint Francis Health System seeks an Authorization Specialist II to ensure accuracy of insurance information and obtain prior authorizations for various infusions and oncology treatments. The role supports NCCN guidelines, medical necessity reviews, and collaboration with pharmacy and clinical staff.

Located in Oklahoma with on-site training and remote work options, the position emphasizes accuracy, timely submissions, and excellent customer service within the health system.

Qualifications

• Minimum 2 years of benefits verification or authorization experience, or 3 years pre-registration experience.
• High School Diploma or GED required.
• Knowledge of insurance terminology and medical billing; ability to access insurer portals.

Responsibilities

• Monitor patient referrals and denials work queues to determine encounters needing pre-registration, verification, or corrections.
• Evaluate physician orders and pre-screen for medical necessity; note frequency and duration of treatment plans.
• Review CPT and diagnosis codes to support authorization and precertification per payer guidelines.
• Process authorizations and validate requests are accurate and timely per insurance guidelines.
• Coordinate with pharmacy, clinical staff, and financial counselors to obtain information and support authorization submissions.

Skills

Benefits verification

Authorization experience

Pre-registration experience

Education

High School Diploma or GED

Job description

Saint Francis Health System seeks an Authorization Specialist II to ensure accuracy of insurance information and obtain prior authorizations for various infusions and oncology treatments. The role supports NCCN guidelines, medical necessity reviews, and collaboration with pharmacy and clinical staff.

Located in Oklahoma with on-site training and remote work options, the position emphasizes accuracy, timely submissions, and excellent customer service within the health system.