Radiation/Chemotherapy Preauthorization Specialist

Hematology Oncology Associates of CNY•East Syracuse, NY

6d•$21 - $29•Onsite

About The Position

Hematology Oncology Associates of CNY (HOACNY), voted one of Central New York’s Best Places to Work, is looking for a full time Preauthorization Specialist to join our professional team. HOACNY provides cancer care services, Monday through Friday, day hours at three convenient locations in East Syracuse, Camillus and Auburn. If you are a highly motivated, team oriented individual looking to make a difference in your career, please apply now. The position requires a clear understanding of medical insurance benefits, as well as, experience in obtaining medical insurance benefits, from the various insurance companies, including Medicare. Must have in depth knowledge of the insurance industry preauthorization process, including what patient documentation is needed, to get an approval for the services. Also need to understand the peer to peer/appeal process if the preauthorization is not approved.

Requirements

Clear understanding of medical insurance benefits.
Experience in obtaining medical insurance benefits from various insurance companies, including Medicare.
In-depth knowledge of the insurance industry preauthorization process.
Knowledge of what patient documentation is needed for service approval.
Understanding of the peer-to-peer/appeal process.
Experience working with patient's insurance benefits, preauthorizations, and referrals.
Familiarity with navigating insurance company websites.
Excellent phone skills.
Excellent organization skills.
Skill in identifying/investigating problems and arriving at a solution.
Ability to work well in a team-oriented environment.
Professionalism.
Skill in computer applications.
Ability to accept change.
High school level education required.

Nice To Haves

2 years of college level education preferred.
1 year medical billing and coding experience.
Understanding of the billing claim to insurance companies.
RHIA, RHIT, CPC, CCS preferred.

Responsibilities

Obtaining medical insurance benefits from various insurance companies, including Medicare.
Understanding the insurance industry preauthorization process.
Determining necessary patient documentation for service approval.
Understanding the peer-to-peer/appeal process if preauthorization is not approved.
Working with patient's insurance benefits, preauthorizations, and referrals.
Navigating insurance company websites.
Identifying/investigating problems and arriving at a solution.
Working in a team-oriented environment.
Using computer applications.