Specialist Oncology Authorization

St. Joseph's Health; Paterson (NJ); On-site; USD 55,000 - 70,000; Full time

Benefits offered by this job

Competitive salary

Health, dental, Rx and vision plans

403b retirement plan with companymatch

PTO and paid holidays

Tuition reimbursement

Employee Assistance Program

Long Term Disability (LTD)

Onsite Day care Program

Job summary

St. Joseph’s Health in Paterson, NJ, is seeking an Authorization Specialist to ensure timely and accurate authorizations for oncology treatments.

The role requires knowledge of insurance protocols, clinical requirements, and oncology processes. Responsibilities include verifying coverage, obtaining authorizations, and providing clear cost estimates to patients to promote transparency and reduce financial uncertainty.

Qualifications

• High School Diploma or GED required.
• At least 2 years of medical revenue cycle work experience preferred.
• Knowledge of medical insurance billing, oncology coding, and CPT/ICD9/ICD10/HCPC coding.
• Proficiency in Microsoft Office (Outlook, Excel, Word, PowerPoint).
• Oncology experience preferred.

Responsibilities

• Verify insurance coverage and obtain authorizations for oncology treatments.
• Provide clear cost estimates to patients to promote transparency.
• Minimize delays, resolve denials, and maintain compliance within the oncology revenue cycle.
• Understand insurance protocols, clinical requirements, and oncology treatment processes.

Skills

Medical insurance billing

Oncology coding

CPT/ICD9/ICD10/HCPC coding

Medical terminology

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Job Description

The Authorization Specialist ensures timely and accurate authorization for oncology-related treatments and procedures. This position requires a comprehensive understanding of insurance protocols, clinical requirements, and oncology treatment processes. Key responsibilities include verifying insurance coverage, obtaining necessary authorizations, and providing clear cost estimates to patients, thereby promoting transparency and reducing financial uncertainty. Additionally, the role focuses on minimizing delays, resolving denials, and maintaining compliance within the oncology revenue cycle.

Job Description

The Authorization Specialist ensures timely and accurate authorization for oncology-related treatments and procedures. This position requires a comprehensive understanding of insurance protocols, clinical requirements, and oncology treatment processes. Key responsibilities include verifying insurance coverage, obtaining necessary authorizations, and providing clear cost estimates to patients, thereby promoting transparency and reducing financial uncertainty. Additionally, the role focuses on minimizing delays, resolving denials, and maintaining compliance within the oncology revenue cycle.

Qualifications

• High School Diploma or GED required
• At least 2 years of medical revenue cycle work experience preferred
• Knowledge of medical insurance billing, especially oncology, and collections, including CPT, ICD9, ICD10 and HCPC coding as well as medical terminology preferred
• Proficiency in Microsoft Office (Outlook, Excel, Word, PowerPoint)
• Oncology experience preferred

About Us

St. Joseph’s Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation’s “100 Best Places to Work in Health Care”.

Benefits Eligibility

(Full-time and Part-time Employees-over 20 hours a week)

• Competitive salary*
• Robust benefits with health, dental, Rx and vision plans
• 403b retirement plan options with company match**
• Health & Wellness*
• Non-Profit Health System – eligible for Federal Student Loan Forgiveness
• PTO, and paid holidays
• Tuition reimbursement
• Employee Assistance Program
• LTD : Long Term Disability
• Life Insurance Options
• Onsite Day care Program
• Available for Per Diem Employees and Part-time Employees working under 20 hours per week.
• 403b Company Match not applicable for Per Diem Employees and Part-time Employees working under 20 hours per week.

Pay transparency

St. Joseph’s Health provides a salary range to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc.” The salary range does not include incentives, differential pay or other forms of compensation.

About The Team

St. Joseph’s University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures. The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women’s health, imaging and pediatrics. The nursing team at St. Joseph’s University Medical Center, which includes St. Joseph’s Children’s Hospital, has held the Magnet Award for Nursing Excellence, the profession’s highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize - one of only 8 Magnet-designated hospitals to ever receive The Magnet Prize, and the only one worldwide to receive the 2010 award.