Insurance Authorization Specialists

The US Oncology Network
Brownsville, TX
Category Insurance
Remote
Job Description
The US Oncology Network is seeking an Insurance Authorization Specialist to join their team at Texas Oncology in Brownsville, TX. The successful candidate will support the Radiation Oncology Department and work remotely. The position offers great benefits and paid holidays, with a typical workweek from Monday to Friday, 8:00a - 5:00p.

Requirements

  • Reviews chemotherapy regimens according to reimbursement guidelines
  • Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments
  • Researches denied services and alternative resources to pay for treatment
  • Updates coding/payer guidelines for clinical staff
  • Tracks pathways and performs various other business office functions
  • Obtains insurance authorization and pre-certification specifically for chemotherapy services
  • Works as a patient advocate and functions as a liaison between the patient and payer
  • Maintains a good working knowledge of chemotherapy authorization requirements for all payers
  • Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient records

Benefits

  • Generous Paid Time Off
  • 401k Matching
  • Health Insurance
  • Paid Holidays
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