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Prior Authorization Specialist

2 months ago

Knoxville, United States UNIVERSITY PHYSICIANS ASSOC INC. Full time

Job Type

Full-time

Description

University Physicians' Association is looking for a full-time Prior Authorization Specialist at University Cancer Specialists, a large medical oncology group within the University of Tennessee Medical Center. Our main campus location consists of 21 providers and is located at the UT Cancer Center within UT Hospital.

Position Summary: This position is responsible for working on the prior authorization team to obtain prior authorizations for radiology and/or medications, schedule appointments for outpatient imaging, and coordinate patient appointments.

Job Type: Full-time; Monday - Friday; 7:00a - 4:00pm or 8:00am - 5:00pm

Knowledge/Skills/Abilities:

  • Have strong verbal and written communication skills.
  • Be highly organized and self-motivated.
  • Requires effective customer relation skills.
  • Requires good judgment, tact, and ability to problem solve.
  • Able to work effectively in a team environment and independently.
  • Able to use a computer and related software.
  • Prior experience with insurance and prior authorizations is required.
  • Prior oncology experience a plus
  • Prior Cerner experience a plus
Essential Responsibilities:
  • Request, follow up, and secure authorizations prior to services being performed.
  • Contact insurance carriers to verify patient's insurance eligibility, benefits, and requirements.
  • Demonstrate and apply knowledge of medical terminology; high proficiency of general medical office procedures including HIPAA regulations.
  • Communicate any insurance changes or trends to the team and leadership.
  • Maintains a level of productivity suitable for the department.
  • Clearly document all communications in standardized documentation requirements.
  • Other duties as assigned.

Full benefit package available, including PTO, Sick Leave, Medical, Dental, Vision, STD, LTD, Life Insurance, 401k with company match and immediate vesting, Critical Illness, and more

Requirements

Previous experience in a medical office setting preferred.

Licensure/Certification/Registration: None