Chemotherapy Authorization Specialist

The US Oncology Network • Knoxville, TN

44d • Onsite

About The Position

We are seeking a dedicated Chemotherapy Authorization Specialist to join our team at Tennessee Cancer Specialists. In this role, you will be instrumental in assisting our providers by obtaining prior authorization from various insurance carriers for ordered medications and treatments. You will play a crucial part in ensuring our patients can receive the necessary care without delay, embodying our mission to deliver the highest quality, compassionate care. Our organization is comprised of over 300 employees across 17 locations in East Tennessee, and this role is a vital support function within our clinics.

Requirements

• Knowledge of chemotherapy, immunotherapy, or other infusion treatment authorization requirements for all types of payors.
• Exceptional customer service skills, including communicating respectfully, thoroughly listening, and asking appropriate questions.
• Proficiency with electronic health records, payor portals, and Microsoft Office (Outlook, Word, Excel, etc.).
• A high school diploma or equivalent is required.
• At least one year of direct experience in a similar position (pre-certification, benefit financial counseling, benefits verification, referral specialist, medical assistant, LPN).
• Minimum of two (2) years of medical insurance verification and authorization experience required.
• Sufficient manual dexterity for operating office equipment (keyboard, telephone, copier, etc.).
• Vision and hearing must be adequate for viewing computer screens for prolonged periods and hearing in-person and phone conversations.

Nice To Haves

• An associate’s degree in a business-related field.
• Prior experience as a medical assistant or LPN.
• LPN state license and registration preferred.
• Billing and coding experience preferred.

Responsibilities

• Assist providers with obtaining prior authorization from various insurance carriers for ordered medications and treatments.
• Communicate respectfully with payors to ensure no delay in the patient’s treatment plan.
• Work alongside a team to troubleshoot issues related to prior authorizations.
• Serve as a point of contact for clinic teams, fielding questions and assisting with additional needs.
• Obtain authorization for patient treatments and break down barriers that might prevent that authorization.
• Research alternative solutions to obtaining authorizations and recognize trends with specific treatments and payors.
• Communicate and provide prompt feedback to physicians, management, and other clinical staff members regarding restrictions, special requirements, and other possible payor issues related to specific insurance plans.

Benefits

• Opportunity to make a meaningful and lasting difference in the lives of patients and their families.
• Work in a supportive team environment.
• Be an essential part of a mission-driven organization.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED