Remote Imaging Authorization Specialist

US Oncology Inc.

Fort Worth (TX)

Remote

USD 52,000 - 76,000

Full time

6 days ago
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Job summary

US Oncology Network in Texas is seeking a Clinical Insurance Reviewer to support the Diagnostic Imaging Department at Texas Oncology in Fort Worth. This full‑time remote role requires Texas residency and follows a standard Monday–Friday, 8:00 a.m.–5:00 p.m. schedule.

You will obtain authorizations and pre-certifications to ensure timely reimbursement and support physicians and patients. Level 1 or Sr depending on experience, with duties including reviewing medical necessity, communicating with

Qualifications

  • Review medical necessity and pre-certifications to ensure timely reimbursement.
  • Research denied services and support payer communications.
  • Follow payer guidelines and HIPAA compliance in all actions.

Responsibilities

  • Review the medical necessity for each patient and process approvals.
  • Communicate with nursing and medical staff regarding restrictions or requirements.
  • Update coding and payer guidelines for clinical staff.
  • Obtain insurance authorization and pre-certification for services.

Skills

Medical insurance verification
Authorization
Reimbursement guidelines
Communication with physicians

Education

High school diploma
Associate degree in Healthcare
LPN license

Tools

Payer portals
EMR systems

Job description

US Oncology Network in Texas is seeking a Clinical Insurance Reviewer to support the Diagnostic Imaging Department at Texas Oncology in Fort Worth. This full‑time remote role requires Texas residency and follows a standard Monday–Friday, 8:00 a.m.–5:00 p.m. schedule.

You will obtain authorizations and pre-certifications to ensure timely reimbursement and support physicians and patients. Level 1 or Sr depending on experience, with duties including reviewing medical necessity, communicating with

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