Imaging Pre Certification Specialist

The US Oncology Network • Knoxville, TN

3d • Onsite

About The Position

We can’t do it without YOU! Do you want to apply your experience, skills, and education to make a meaningful and lasting difference in the lives of our patients and their families? At Tennessee Cancer Specialists, it is the privilege of our employees to walk with our patients and their families as they move along the journey of fighting cancer. Whether you are working directly with patients in one of our clinics or a support role, you are an essential part of our mission to deliver the highest quality, compassionate care. Our 300+ employees make up the teams at our 17 different East Tennessee locations! As a Radiology Imaging Pre-Certification Specialist, you will assist our providers with obtaining prior authorization from various insurance carriers for ordered scans to aid in treatment planning.

Requirements

• High school diploma or equivalent.
• Proficiency with electronic health records, payor portals, and Microsoft Office (Outlook, Word, Excel, etc.).
• At least one year of direct experience in a similar position (pre-certification, medical assistant, LPN).
• Minimum three (3) years medical insurance verification and authorization 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

• Associate’s degree in a business-related field.
• Prior experience as a medical assistant or LPN.
• Associate degree in Healthcare, LPN state license and registration preferred.

Responsibilities

• Assist providers with obtaining prior authorization from various insurance carriers for ordered scans to aid in treatment planning.
• Obtain authorization for patient treatments and break down barriers that might prevent that authorization.
• Respectfully communicate with payors, ensuring there is no delay in the patient’s treatment plan.
• Work alongside a team of dedicated individuals to troubleshoot issues.
• Serve as a point of contact for clinic teams, fielding questions or assisting with additional needs.
• 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.
• Research alternative solutions to obtaining authorizations and recognize trends with specific treatments and payors.
• Jump in and help out with any additional tasks.

What This Job Offers

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