Remote Precertification Specialist — Patient Access

US Oncology Network-wide Career Opportunities; Teaneck Township (NJ); On-site; USD 54,480,000 - 83,728,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Wellness program

Health savings account

Flexible spending accounts

401(k) retirement plan

Life insurance

Short-term disability

Long-term disability

Employee Assistance Program

Paid Time Off

Holiday pay

Tuition discounts

Job summary

RCCA is seeking a fully remote Precertification Specialist based in Teaneck, NJ, to obtain and manage prior authorizations, ensuring patients receive timely access to care. The role demands meticulous attention to detail, problem-solving, and adherence to payer requirements.

compensation ranges from $18.99 to $29.22 per hour, with comprehensive benefits including health, dental, vision, HSA/FSA, 401(k), life and disability insurance, EAP, PTO, and tuition discounts.

Qualifications

• High School diploma or equivalent required.
• Minimum two (2) years of experience in a patient access or financial clearance role. Oncology preferred.
• Demonstrate advanced knowledge of medical terminology.
• Ability to navigate different systems seamlessly and multitask efficiently.
• Must successfully complete required e-learning courses within 90 days of occupying position.

Responsibilities

• Obtain and manage prior authorizations to ensure timely patient care.
• Review and confirm patient insurance eligibility, benefits, and coverage per payer requirements.
• Follow SOPs to complete PA tasks accurately and compliantly.
• Proactively follow up with insurance carriers on pending authorizations and submit appeals when necessary.
• Maintain confidentiality and comply with HIPAA and related guidelines.
• Escalate issues to Supervisor as needed and coordinate outreach for patient plan initiation.

Skills

Medical terminology

System navigation

Multitasking

E-learning

Education

High School diploma or equivalent

Job description

RCCA is seeking a fully remote Precertification Specialist based in Teaneck, NJ, to obtain and manage prior authorizations, ensuring patients receive timely access to care. The role demands meticulous attention to detail, problem-solving, and adherence to payer requirements.

compensation ranges from $18.99 to $29.22 per hour, with comprehensive benefits including health, dental, vision, HSA/FSA, 401(k), life and disability insurance, EAP, PTO, and tuition discounts.