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Location: Dallas/ Bangalore /Coimbatore/Manila | Remote

Immediate Hiring

Job summary:

The Oncology Authorization Specialist plays a crucial role in obtaining and managing authorizations for oncology-related treatments and procedures. This position requires a deep understanding of insurance protocols, Clinical questions , and oncology treatment processes.

Key Responsibilities:

  • Obtain pre-authorization for complex oncology treatments, medications, and procedures from insurance providers (Chemo Drugs).
  • Demonstrate proficiency in understanding and navigating various oncology regimens, drugs, and dosages.
  • Collaborate with healthcare providers, physicians, and insurance companies to ensure timely authorization approvals.
  • Verify insurance coverage and communicate with patients regarding authorization status and any potential financial responsibilities.
  • Maintain accurate and up-to-date records of authorization requests, approvals, and denials.
  • Stay informed about changes in insurance policies, coding regulations, and reimbursement processes related to oncology services.
  • Utilize and navigate authorization portals like Carelon, Evicore, Optum, Availity, etc., to streamline the authorization process.

Qualifications:

  • Any Bachelor's degree, nursing, or a related field.
  • Minimum of [2] years of experience in oncology authorization or a similar role.
  • Strong knowledge of RCM, insurance procedures, and oncology treatment processes.
  • Excellent communication and interpersonal skills.
  • Detail-oriented with the ability to manage multiple tasks simultaneously.
  • Not Mandatory, Proficient in using IKnowMed and Colloborate MD.

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Call us at:
(469)242-6053
         

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