Remote Oncology Insurance Authorization Specialist

US Oncology Network-wide Career Opportunities; Austin (TX); Remote; USD 52,000 - 72,000; Full time

Job summary

The US Oncology Network is seeking an Insurance Authorization Specialist to support the Oncology Department at Texas Oncology in Austin. This remote, full-time role involves obtaining pre-certifications, verifying insurance, and ensuring timely reimbursement for chemotherapy services.

Ideal candidates have 3+ years in medical insurance verification/authorization, strong communication with clinical staff, and knowledge of compliance standards. Role may be level 1 or Sr based on experience.

Qualifications

• High school degree or equivalent.
• Associates degree in Healthcare, LPN license and registration preferred.
• Minimum three (3) years medical insurance verification and authorization preferred.
• Level Sr requires three (3) years medical insurance verification/authorization and two (2) years clinical review experience.

Responsibilities

• Review chemotherapy regimens for medical necessity and pathway adherence.
• Obtain pre-certifications and exceptions to prevent treatment reimbursement delays.
• Communicate with nursing/medical staff on restrictions or special payer requirements.
• Obtain insurance authorization/pre-certification for chemotherapy; act as patient advocate with payers.

Skills

Medical insurance verification

Pre-certification procedures

Staff communication

HIPAA confidentiality

Education

High school diploma or equivalent

Associate degree in Healthcare

LPN license

Job description

The US Oncology Network is seeking an Insurance Authorization Specialist to support the Oncology Department at Texas Oncology in Austin. This remote, full-time role involves obtaining pre-certifications, verifying insurance, and ensuring timely reimbursement for chemotherapy services.

Ideal candidates have 3+ years in medical insurance verification/authorization, strong communication with clinical staff, and knowledge of compliance standards. Role may be level 1 or Sr based on experience.