Remote Oncology Chemotherapy Authorization Specialist

US Oncology Network-wide Career Opportunities; Abilene (TX); Remote; USD 29,000 - 34,000; Full time

Job summary

US Oncology Network-wide Career Opportunities is seeking an Insurance Authorization Specialist to support the Oncology Department at Texas Oncology. This full‑time remote role handles pre-certifications and authorizations for chemotherapy, ensuring timely reimbursement and patient advocacy.

The ideal candidate will have 3+ years in medical insurance verification/authorization, ability to collaborate with clinical staff, and a solid understanding of reimbursement guidelines.

Qualifications

• High school diploma or equivalent required.
• Associates degree in Healthcare preferred; LPN license/registration preferred.
• Minimum three (3) years medical insurance verification and authorization experience preferred.
• Two (2) years clinical review experience for Sr level preferred.

Responsibilities

• Reviews chemotherapy treatment requests for medical necessity and pathway adherence.
• Obtains pre-certifications/authorizations to avoid delays in reimbursement.
• Communicates with nursing and medical staff regarding payer requirements and coding guidelines.
• Acts as liaison between patient and payer to answer reimbursement questions and reduce delays.
• Maintains knowledge of payer guidelines and confidentiality requirements.

Skills

Medical insurance verification

Authorization processing

Clinical review support

Education

High school diploma

Associates degree in Healthcare

LPN license

Job description

US Oncology Network-wide Career Opportunities is seeking an Insurance Authorization Specialist to support the Oncology Department at Texas Oncology. This full‑time remote role handles pre-certifications and authorizations for chemotherapy, ensuring timely reimbursement and patient advocacy.

The ideal candidate will have 3+ years in medical insurance verification/authorization, ability to collaborate with clinical staff, and a solid understanding of reimbursement guidelines.