Oncology Certification Specialist - Hematology/Oncology

Hattiesburg Clinic • Hattiesburg, MS

3d • Onsite

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

Nice To Haves

• Experience in a medical office, pharmacy, oncology practice, or 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
• Serving as a liaison between pharmacists, providers, insurance companies, and patients
• Ensuring accurate verification of benefits
• Completing prior authorizations
• Coordinating financial assistance
• Confirming insurance coverage and payment arrangements before prescriptions are ordered or dispensed
• Identifying and facilitating access to external financial aid programs based on eligibility when patients lack adequate coverage

What This Job Offers

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