Remote Oncology Insurance Authorization Specialist

The US Oncology Network; Odessa (TX); Remote; USD 45,000 - 65,000; Full time

Job summary

The US Oncology Network in Odessa, TX, Texas Oncology is seeking an Insurance Authorization Specialist to join the Laboratory Department. This full-time remote role focuses on obtaining pre-certifications and ensuring timely reimbursement for chemotherapy services, while coordinating with physicians and payers.

The ideal candidate will have 3+ years in medical insurance verification and authorization, strong communication, and a commitment to compliant patient care.

Qualifications

• Minimum three years medical insurance verification and authorization.
• Experience with chemotherapy services and payer guidelines.
• Ability to interpret benefits and explain coverage to patients.

Responsibilities

• Reviews and authorizes chemotherapy-related services for reimbursement.
• Coordinates with nursing and medical staff on insurance requirements.
• Obtains pre-certifications and maintains payer communication.
• Adheres to compliance programs and confidentiality regulations.
• Researches resources to prevent payment denials.

Skills

Medical Insurance Verification

Authorization processing

Communication skills

Education

High school diploma or equivalent

Associate degree in Healthcare

Tools

Billing systems (EMR/EHR)

Job description

The US Oncology Network in Odessa, TX, Texas Oncology is seeking an Insurance Authorization Specialist to join the Laboratory Department. This full-time remote role focuses on obtaining pre-certifications and ensuring timely reimbursement for chemotherapy services, while coordinating with physicians and payers.

The ideal candidate will have 3+ years in medical insurance verification and authorization, strong communication, and a commitment to compliant patient care.