Prior-Authorization Specialist

Oregon Oncology Specialists has an exciting opening for a Prior Authorization Specialist. Are you or someone you know looking to utilize your skill set in a new and impactful way? If so, we are eager to hear from you! As a Prior Authorization Specialist, you will be responsible for the timely and accurate completion of referrals and obtain pre-authorizations for treatments from insurance companies. You will be an integral part in ensuring that our patients receive the important treatment they need.

 

Qualities you will need to be successful:

  • Strong Attention to detail
  • Excellent time management skills and organizational ability
  • Exceptional interpersonal and communication skills.
  • Must have strong computer skills, including the ability to work with medical software.

 

Essential Job Functions

  • Receives, processes prior authorizations required for treatment.
  • Obtains insurance pre-authorization for patients and re-authorization of additional treatment.
  • Ensures insurance carrier documentation requirements are met.
  • Efficiently manages correspondence with the clinical team and insurance carriers.
  • Works in collaboration with the entire revenue cycle team to improve processes and prevent financial toxicity for our patients.
  • Ensures NCCN guidelines are followed and seeks clarification when through the pre-authorization process an order is found to not be in alignment.
  • Maintains appropriate reports to accommodate transitioning patient and payer needs.

 

Job Qualifications:

  • Associates Degree preferred
  • Medical terminology preferred
  • Job Type: Full-time

 

Ways OOS will appreciate you:

  • Provide a positive, supportive atmosphere
  • Competitive wages, incentive bonuses, paid holidays and paid time off
  • Retirement savings plans with a great employer contribution
  • 100% employer paid employee medical, vision, dental, insurance;
  • Dependent medical, vision, dental insurance coverage available
  • Tax-saving Flexible Spending Plans