Prior Authorization Specialist - University Surgical Oncology

Description

University Physicians' Association is looking for a full-time Prior Authorization Specialist at University Surgical Oncology, a large medical oncology group within the University of Tennessee Medical Center.

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

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, 401k with company match and immediate vesting, Life Insurance, and more!

Requirements

Previous experience in a medical office setting preferred.