Current jobs related to Prior Authorization Specialist - Norfolk - Regional Business Office

  • Authorization Coordinator

    2 weeks ago

    Norfolk, Virginia, United States TEKsystems Full time

    Position OverviewAs a Authorization Coordinator Explore your potential in a rewarding role: What you can expect...Career Advancement – Numerous opportunities for professional growthWork Schedule – Fully in-office position. Monday to Friday (8:30 AM - 5:00 PM)Attractive Compensation - Starting at $21.00+ per hourStreamlined Interview Process – Access to...

  • Medical Authorization Coordinator

    1 week ago

    Norfolk, Virginia, United States TEKsystems Full time

    As the Medical Authorization Coordinator Are you prepared to take the next step in your professional journey? What you can expect...Growth Potential – Abundant opportunities for advancement in your careerWork Schedule – Fully in-office position. Monday-Friday (8:30am-5:00pm)Attractive Compensation - Starting at $21.00+ per hourStreamlined Interview...

  • Medical Authorization Coordinator

    2 weeks ago

    Norfolk, Virginia, United States TEKsystems Full time

    As the Medical Authorization Coordinator Are you prepared to take the next step in your professional journey? You'll appreciate...Career Growth – Abundant opportunities for advancement in your careerWork Schedule – 100% in-office position. Monday-Friday (8:30am-5:00pm)Attractive Compensation - Starting at $21.00+ per hourStreamlined Interview Process –...

  • Test Automation Specialist

    2 days ago

    Norfolk, Virginia, United States Sunrise Systems Full time

    **Job Title:** Test Automation Specialist**Location:** Remote**Duration:** 4 months contract with possible extension**Job Description:****About the Role:**We are seeking a talented and creative Test Automation Specialist to join our team at Sunrise Systems. As a Test Automation Specialist, you will work with our clients, third-party vendors, and onshore and...

  • Financial Services Specialist

    2 days ago

    Norfolk, Virginia, United States Sentara Healthcare Full time

    Job SummaryThe Financial Services Specialist is responsible for pre-registration, insurance verification, and communicating with patients to secure their financial responsibilities prior to services.Key ResponsibilitiesPre-register patients to ensure accurate and timely insurance verificationCommunicate with patients to secure their financial...

  • Pediatric Medical Support Specialist

    5 days ago

    Norfolk, Virginia, United States North Shore Pediatrics Full time

    Job OverviewWe are seeking dedicated and detail-oriented individuals with a strong work ethic and a friendly demeanor to join our family-oriented pediatric practice.Key ResponsibilitiesAccurately measure and document patient vitals using our Electronic Health Record system.Administer vaccinations and ensure proper management of vaccine storage.Handle prior...

  • Logistics Training and Documentation Specialist

    4 months ago

    Norfolk, United States Aretum Full time

    Job DescriptionJob DescriptionARETUM, a leading government contracting company specializing in technology-enabled mission support services, is seeking a dedicated and detail-oriented Logistics Training and Documentation Specialist to join our team. As a Logistics Training and Documentation Specialist at ARETUM, you will play a crucial role in ensuring...

  • Logistics Training and Documentation Specialist

    3 weeks ago

    Norfolk, United States Aretum Full time

    Job DescriptionJob DescriptionARETUM, a leading government contracting company specializing in technology-enabled mission support services, is seeking a dedicated and detail-oriented Logistics Training and Documentation Specialist to join our team. As a Logistics Training and Documentation Specialist at ARETUM, you will play a crucial role in ensuring...

  • Transition Finance Specialist

    5 days ago

    Norfolk, Virginia, United States Careers@Gov Full time

    Job Title: Transition Finance SpecialistThe Monetary Authority of Singapore (MAS) is Singapore's central bank and integrated financial regulator. As a key player in the financial sector, MAS promotes sustainable economic growth and fosters a sound financial services sector.About the RoleYou will be part of a dynamic team driving the net zero transition of...

  • Contracting Specialist

    2 weeks ago

    Norfolk, United States Commander, Navy Installations Full time

    Summary This position serves as the Contract Specialist and provides procurement and procurement-related support to Navy Region Mid-Atlantic (NRMA) N9 Fleet and Family Readiness Programs. Incumbent provides specialized expertise in the procurement of supplies, services, and equipment. Responsibilities Serves as a Contracting Officer, appointed by higher...

  • contract specialist

    2 months ago

    Norfolk, Virginia, United States USAJobs Full time

    DutiesYou will plan procurement actions to acquire goods, services, or work from an external source. You will negotiate contracts for services and supplies. You will draft contract documents (i.e., cure or show cause notices, contract modifications and administrative documents) based on specific detailed information provided by senior contract...

  • Course Curriculum Specialist

    2 months ago

    Norfolk, United States Armada Ltd Full time

    Job DescriptionJob DescriptionCourse Curriculum SpecialistType: Full TimeLocation: Norfolk, VAOvertime Exempt: NoReports To: ARMADA HQSecurity Clearance Required: Secret Security Clearance****************CONTINGENT UPON AWARDING OF GOVERNMENT CONTRACT********The Course Curriculum Specialist shall manage and perform the following:Duties & Responsibilities:...

  • Instructional Materials Specialist

    2 months ago

    Norfolk, United States Armada Ltd Full time

    Job DescriptionJob DescriptionInstructional Materials SpecialistType: Full TimeLocation: Norfolk, VAOvertime Exempt: NoReports To: ARMADA HQSecurity Clearance Required: Secret Security Clearance******CONTINGENT UPON AWARDING OF GOVERNMENT CONTRACT******The Instructional Materials Specialist shall manage and perform the following:Duties & Responsibilities:...

  • Course Curriculum Specialist

    1 month ago

    Norfolk, United States Armada Ltd Full time

    Job DescriptionJob DescriptionCourse Curriculum SpecialistType: Full TimeLocation: Norfolk, VAOvertime Exempt: NoReports To: ARMADA HQSecurity Clearance Required: Secret Security Clearance****************CONTINGENT UPON AWARDING OF GOVERNMENT CONTRACT********The Course Curriculum Specialist shall manage and perform the following:Duties & Responsibilities:...

  • Offshore Electrical Commissioning Specialist

    2 weeks ago

    Norfolk, Virginia, United States Taylor Hopkinson | Powered by Brunel Full time

    Position Overview:An Offshore Electrical Commissioning Specialist is sought for a leading Offshore Windfarm developer.Key Responsibilities:The specialist will oversee and engage in the testing and operation of offshore substation (OSS) and wind turbine generator (WTG) auxiliary systems, including but not limited to heating, cooling, ventilation, water...

  • Culinary Specialist

    2 days ago

    Norfolk, Virginia, United States IHOP Full time

    Culinary Specialist Job DescriptionJob Summary:The Culinary Specialist is responsible for the preparation and cooking of food products accurately and with minimal waste. This position requires a high level of culinary expertise and attention to detail.Key Responsibilities:Maintain a sanitized and well-organized kitchen environment.Prepare workstations for...

  • Front Office Coordinator/ Billing Specialist

    1 month ago

    Norfolk, United States Child & Family Services of Eastern Virginia Inc Full time

    Job DescriptionJob DescriptionDescription:JOB SUMMARYThe Front Office Coordinator / Billing Specialist oversees the administrative duties of the facility. They are responsible for moving the clients through the check-in process as smoothly as possible. The Billing Specialist is responsible for collecting, posting, and managing account payments, and for...

  • Front Office Coordinator/ Billing Specialist

    4 weeks ago

    Norfolk, United States The Up Center Full time

    Job Type Full-time Description JOB SUMMARY The Front Office Coordinator / Billing Specialist oversees the administrative duties of the facility. They are responsible for moving the clients through the check-in process as smoothly as possible. The Billing Specialist is responsible for collecting, posting, and managing account payments, and for submitting...

  • Financial Operations Specialist

    2 weeks ago

    Norfolk, Virginia, United States Air Control Concepts Full time

    Accounts Payable SpecialistKey Responsibilities:Oversee daily Accounts Payable functions including invoice management, coding, and authorization processes.Facilitate vendor disbursements and address any related inquiries.Conduct account reconciliations and support month-end closing activities.Ensure meticulous record-keeping and adherence to tax compliance...

  • Patient Account Specialist

    3 months ago

    Norfolk, United States Eastern Virginia Medical School Full time

    Overview The Patient Account Specialist is responsible for performing duties in the billing division pertaining to all aspects of the revenue cycle, which includes but is not limited to extracting and updating appropriate CPT and ICD-10 codes, data entry, denials, patient account research, and insurance follow-up. The position will also play a key...

Prior Authorization Specialist

1 month ago

Norfolk, United States Regional Business Office Full time

Overview:

Employment Type: Full Time

In Office Position

Benefits: M/D/V, Life Ins., 401(k), PTO, Paid Holidays

Norfolk, Virginia

Pay Range: $20-$25 hourly

JOB SCOPE: Under general supervision, reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Research denied services and alternative resources to pay for treatment. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes Come join our team in the fight against cancer

About US Oncology
The US Oncology Network is one of the nations largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visit www.usoncology.com. We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs.

Responsibilities:

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Reviews, processes, and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence.
  • Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans.
  • Provides prompt feedback to physicians and management regarding pathway documentation issues, and payer issues with non-covered chemotherapy drugs.
  • Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis
  • 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 to answer reimbursement questions and avoid insurance delays.
  • Research additional or alternative resources for non-covered chemotherapy services to prevent payment denials. Provides a contact list for patients community resources including special programs, drugs and pharmaceutical supplies and financial resources.
  • Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization.
  • Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patients records.
  • Other duties as requested or assigned.


Qualifications:

Minimum Qualifications:

  • High school degree or equivalent. Associates degree in Healthcare.
  • Minimum three (3) years medical insurance verification and authorization required.

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

WORK ENVIRONMENT: The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.