Prior Authorization Specialist (Oncology), Cancer Care

Description

Clerical/Administrative Support
Req #: 11383

Summary:

The Prior Authorization Specialist will ensure all tasks related to obtaining insurance authorizations for diagnostic imaging test and/or procedures meet defined performance metrics.

Additional services requested include:

• Radiology (Ultra Sounds, MRIs, CTs, CT Guided Biopsies)
• Nuclear Medicine (Bone Scans, PET CT Imaging, DEXA Scans)
• Interventional Radiology (Port placements and removals)
• Cardiology (Echos)
• IV Therapy treatments (Chemotherapy, Hematology, and Immunotherapy)
• Lumbar Punctures
• Genetic Testing (blood lab draws testing for genetic variants)

Preferred Requirements:

• Prior authorization experience.
• Understand and be open to continued education on insurance guidelines, procedures, and restrictions regarding the standard of care for Oncology and Hematology patients.
• Excellent communication and interpersonal skills with the ability to communicate clearly in person and on the phone.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education: High school diploma or GED preferred.

2. License/Certifications: N/A

3. Experience: Previous medical office experience preferred.

4. Additional Skills/Requirements Required: N/A

5. Additional Skills/Requirements Preferred: N/A