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Oncology Authorization Specialist
3 months ago
Position Overview:
Rocky Mountain Cancer Centers, a leading provider of comprehensive cancer care, is seeking a skilled Authorization Specialist to join our dedicated team.
Each member of our team brings a unique background and motivation, yet we are united by our shared values of compassion and dedication.
Regardless of the role, our collective mission is to ensure that every patient receives the highest quality of care.
Whether providing support directly to patients or coordinating appointments, we are committed to being a source of strength and assistance.
If you resonate with this mission, we invite you to consider joining our team.Key Responsibilities:
- Evaluate, process, and verify the medical necessity for chemotherapy treatments, ensuring adherence to established protocols.
- Act as a patient advocate, serving as a liaison between patients and insurance providers to address inquiries and prevent reimbursement delays.
- Collaborate with nursing and medical personnel to communicate any specific requirements or limitations related to various insurance plans.
- Prepare and submit requests for write-offs with the necessary documentation.
- Handle insurance and patient correspondence, including follow-ups on denials.
- Maintain a thorough understanding of chemotherapy authorization requirements across all payers, as well as state and federal regulatory guidelines.
Compensation:
$18.29-$25.00
Compensation is determined by various factors, including education, experience, and certifications.
In addition to salary, RMCC offers a comprehensive benefits package for eligible employees, which includes:
Health, dental, and vision insurance; wellness initiatives; health savings and flexible spending accounts; a 401(k) retirement plan; life insurance; short-term and long-term disability coverage; an Employee Assistance Program; paid time off; holiday pay; tuition reimbursement; and critical illness and accident insurance options.
Qualifications:
MINIMUM REQUIREMENTS:
High school diploma or equivalent. A minimum of two (2) years of experience in medical insurance verification and authorization is required. Experience in billing and coding is preferred.
All candidates must successfully complete a background check and a non-federal drug test (excluding marijuana) after receiving a job offer and prior to employment.
PHYSICAL REQUIREMENTS:
The physical demands outlined here represent the requirements necessary for an employee to effectively perform the essential functions of this position.
Reasonable accommodations may be made to enable individuals with disabilities to fulfill these functions.While performing job duties, employees are regularly required to sit and use their hands for tasks such as typing or handling materials.
Employees may occasionally need to stand, walk, and reach with their arms. Lifting or moving items up to 30 pounds may be required. Vision and hearing must be corrected to normal ranges.WORK ENVIRONMENT:
The characteristics of the work environment described here are representative of what employees may encounter while performing essential job functions.
Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.Work is conducted in an office setting with frequent interactions with patients, clinical staff, and insurance representatives.
All candidates must successfully complete a background check and a non-federal drug test (excluding marijuana) after receiving a job offer and prior to employment.
