Oncology Pre-Certification Professional
7 days ago
We are seeking a dedicated and detail-oriented Oncology Pre-Certification Professional to join our team at US Oncology Network-wide Career Opportunities. As a key member of our team, you will play a vital role in ensuring that our patients receive the highest quality care by assisting with obtaining prior authorization from various insurance carriers for ordered medications and treatments.
Responsibilities• Utilize expertise to obtain authorization for patient treatments and address potential barriers that may prevent authorization.
• Collaborate with our providers to ensure seamless communication and efficient patient care.
• Provide exceptional customer service to patients, clinical staff, and payers through respectful communication and thorough listening skills.
• Communicate effectively with physicians, management, and other clinical staff regarding restrictions, special requirements, and payor issues related to specific insurance plans.
• Maintain a patient-focused mindset to research alternative solutions for obtaining authorizations and recognize trends with specific treatments and payors.
We require a high school diploma or equivalent, with an associate's degree in a business-related field preferred. Prior experience as a medical assistant or LPN is an advantage. Your proficiency in electronic health records, payor portals, and Microsoft Office is essential. A minimum of one year of direct experience in a similar position is required to provide the necessary background for this role.
Minimum Qualifications: High school degree or equivalent, associate's degree in Healthcare, LPN state license and registration preferred, minimum two (2) years medical insurance verification and authorization required, billing and coding experience preferred.
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.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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