Oncology Certification Specialist - Hematology Oncology

Hattiesburg Clinic • Hattiesburg, MS

1d

About The Position

The Oncology Certification Specialist is responsible for evaluating patient insurance benefits and coordinating coverage for oral oncology medications. This role serves as a liaison between pharmacists, providers, insurance companies, and patients to ensure accurate verification of benefits, prior authorization completion, and financial assistance coordination. The Specialist confirms insurance coverage and payment arrangements before prescriptions are ordered or dispensed. When patients lack adequate coverage, the Specialist identifies and facilitates access to external financial aid programs based on eligibility.

Requirements

• High school diploma or equivalent, required
• Experience in a medical office, pharmacy, oncology practice, or insurance verification role, preferred
• Knowledge of prior authorization processes, specialty pharmacy workflows, or oncology medications is beneficial

Nice To Haves

• Experience in a medical office
• Experience in a pharmacy
• Experience in an oncology practice
• Experience in insurance verification role
• Knowledge of prior authorization processes
• Knowledge of specialty pharmacy workflows
• Knowledge of oncology medications

Responsibilities

• evaluating patient insurance benefits
• coordinating coverage for oral oncology medications
• liaison between pharmacists, providers, insurance companies, and patients
• accurate verification of benefits
• prior authorization completion
• financial assistance coordination
• confirming insurance coverage and payment arrangements before prescriptions are ordered or dispensed
• identifies and facilitates access to external financial aid programs based on eligibility

What This Job Offers

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