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Reimbursement Specialist, Prior Authorization
6 days agoWhat's your preference?
Job Description
- Req#: 744000068482035
Employer Industry: Precision Oncology
Why consider this job opportunity:
- Salary up to $28.24 per hour
- Opportunity for career advancement and growth within the organization
- Hybrid work model offering flexibility for better work-life balance
- Collaborative environment focused on improving cancer care
- Chance to contribute to innovative solutions in oncology and patient care
What to Expect (Job Responsibilities):
- Act as the primary contact for insurance companies to secure necessary preauthorizations for patient services
- Collaborate with billing systems, finance, and client services teams to facilitate timely payment processing
- Maintain and update a comprehensive database of payer authorization requirements
- Manage all documentation related to payer communication, correspondence, and insurance claims research
- Track, report, and resolve complex claims, ensuring prompt follow-up and resolution
What is Required (Qualifications):
- 0-2 years of experience in the healthcare industry
- Strong understanding of health plan regulations, billing processes, and third-party payer requirements
- Excellent organizational skills, with high attention to detail and accuracy
- Self-motivated with the ability to work independently in a fast-paced environment
- Proficiency in Excel (sorting, filtering, basic calculations)
How to Stand Out (Preferred Qualifications):
- Experience with insurance and payer relations
- Familiarity with a diverse range of payers, insurance portals, and prior authorization processes
- Proven ability to coordinate with insurance providers, physicians, and patients
- Knowledge of laboratory billing, Xifin, EDI enrollment, and merchant solutions
- Experience with appeals at state and external review organizations (IROs/IRBs)
#PrecisionOncology #HealthcareJobs #CareerOpportunity #HybridWork #InsuranceRelations
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