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Authorization Coordinator

2 months ago


Knoxville, Tennessee, United States University Physicians Association Full time
Position Overview

The University Physicians' Association is seeking a dedicated Prior Authorization Specialist to join our esteemed team at University Cancer Specialists, a prominent medical oncology group affiliated with a leading medical center.

Role Summary: This role is pivotal in the prior authorization department, focusing on securing necessary authorizations for imaging and medications, managing outpatient imaging appointments, and facilitating patient scheduling.

Work Schedule: Full-time; Monday – Friday; options of 7:00 AM – 4:00 PM or 8:00 AM – 5:00 PM.

Key Competencies:

  • Exceptional verbal and written communication skills.
  • Strong organizational skills and self-motivation.
  • Proficient in customer relations.
  • Ability to exercise sound judgment and problem-solving skills.
  • Capability to work collaboratively in a team and independently.
  • Proficient in computer usage and relevant software applications.
  • Prior experience with insurance processes and authorizations is essential.
  • Experience in oncology settings is advantageous.
  • Familiarity with Cerner systems is a plus.

Core Responsibilities:

  • Initiate, monitor, and obtain necessary authorizations prior to the delivery of services.
  • Engage with insurance providers to confirm patient eligibility, benefits, and procedural requirements.
  • Exhibit a comprehensive understanding of medical terminology and standard medical office practices, including compliance with HIPAA regulations.
  • Relay any updates or trends regarding insurance to the team and management.
  • Maintain productivity levels that meet departmental standards.
  • Document all communications in accordance with established protocols.
  • Perform additional duties as required.

Comprehensive Benefits Package: Includes paid time off, sick leave, medical, dental, vision coverage, short-term and long-term disability, life insurance, a 401k plan with company matching and immediate vesting, critical illness coverage, and more.

Qualifications: Previous experience in a healthcare office environment is preferred.

Licensure/Certification: None required.