Remote Oncology Insurance Authorization Specialist

Us Oncology Inc; Abilene (TX); Remote; USD 42.000 - 68.000; Vollzeit

Zusammenfassung

The US Oncology Network in Abilene, Texas is seeking an Insurance Authorization Specialist to support the Oncology Department at Texas Oncology. This full-time remote position handles pre-certifications for chemotherapy and acts as a liaison between patients and payers.

The role requires adherence to reimbursement guidelines, strong communication with clinicians, and knowledge of payer policies. Level 1 or Sr based on experience; includes HIPAA compliance and dedication to timely approvals.

Qualifikationen

• Three+ years medical insurance verification and authorization experience.
• High school degree or equivalent; Associate degree preferred.
• Experience with chemotherapy authorization a plus.

Aufgaben

• Review chemotherapy regimens for medical necessity relative to pathway adherence.
• Obtain pre-certifications and exceptions to ensure timely reimbursement.
• Communicate with nursing and medical staff on insurance requirements and restrictions.
• Update payer guidelines for clinical staff and track pathways.
• Act as liaison between patient and payer to answer reimbursement questions.
• Maintain knowledge of payer authorization requirements and HIPAA compliance.

Kenntnisse

Medical billing

Insurance verification

Authorization processing

Interpersonal communication

Ausbildung

Associate degree in Healthcare

LPN license (preferred)

Tools

EMR systems

Payer portals

Jobbeschreibung

The US Oncology Network in Abilene, Texas is seeking an Insurance Authorization Specialist to support the Oncology Department at Texas Oncology. This full-time remote position handles pre-certifications for chemotherapy and acts as a liaison between patients and payers.

The role requires adherence to reimbursement guidelines, strong communication with clinicians, and knowledge of payer policies. Level 1 or Sr based on experience; includes HIPAA compliance and dedication to timely approvals.