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Senior Reimbursement Specialist - Prior Authorization
6 days agoWhat's your preference?
Job Description
- Req#: 744000068509805
Employer Industry: Precision Oncology
Why consider this job opportunity:
- Salary up to $33.22 per hour
- Hybrid work model offering flexibility for better work-life balance
- Opportunity for career advancement and growth within a leading oncology company
- Collaborative work environment focused on innovative patient care
- Chance to make a meaningful impact in cancer treatment and patient outcomes
What to Expect (Job Responsibilities):
- Manage the full prior authorization lifecycle, ensuring timely approvals while navigating complex payer policies
- Collaborate with billing tool provider and internal teams to optimize billing operations
- Address and troubleshoot complex denials and reimbursement challenges
- Facilitate communication between ordering physician offices and internal teams for efficient claim resolution
- Develop training and quality control programs to enhance team performance
What is Required (Qualifications):
- Minimum of 5+ years of recent experience in professional and facility coding, billing, and prior authorization
- Proven experience in contacting and following up with insurance carriers on denials and appeals
- Proficiency in computer skills, data entry, and above-average typing skills
- Intermediate to advanced skills in MS Office, especially Excel
- High school diploma or equivalent; bachelor's degree or equivalent work experience preferred
How to Stand Out (Preferred Qualifications):
- Familiarity with laboratory billing, Xifin, EDI enrollment, and payer portals
- Experience appealing to state-level agencies or external review organizations (IRO/IRBs)
#PrecisionOncology #HealthcareBilling #CareerOpportunity #HybridWork #CancerCare
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