• Job Description

  Req#: 744000065804915
  Employer Industry: Precision Oncology
  
  Why consider this job opportunity:
  - Salary up to $30.79 per hour
  - Opportunity for career advancement and growth within the organization
  - Flexible hybrid work model with defined in-office collaboration days
  - Supportive and collaborative work environment focused on patient care
  - Chance to make a meaningful impact in the field of cancer treatment
  
  What to Expect (Job Responsibilities):
  - Manage the full prior authorization lifecycle, including navigating complex payer policies and securing timely approvals
  - Actively review, submit, track, and resolve prior authorization inquiries using various systems and tools
  - Resolve escalated rejected authorization issues and streamline processes for efficiency
  - Communicate effectively with cross-functional teams and ordering physician offices to address inefficiencies
  - Maintain comprehensive documentation of payer requirements and support process improvement initiatives
  
  What is Required (Qualifications):
  - Minimum of 3+ years of healthcare reimbursement experience, focusing on prior authorization and insurance coordination
  - Expert-level knowledge of Medicare, Medicaid, and commercial payer authorization policies and appeals processes
  - Proficiency with revenue cycle tools and systems such as Xifin/Telcor, payer portals, and Salesforce
  - Exceptional attention to detail, organizational abilities, and a drive to identify process improvements
  - Excellent communication and interpersonal skills to facilitate collaboration across departments
  
  How to Stand Out (Preferred Qualifications):
  - Experience with laboratory billing workflows and national/regional payer requirements
  - Analytical mindset with experience in data analysis and process optimization
  - Proven track record of managing complex, high-priority claims and overturning denials
  
  #PrecisionOncology #HealthcareReimbursement #CareerOpportunity #HybridWork #ProcessImprovement
  
  "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."

• About the company

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