Employer Industry: Precision Oncology

Why consider this job opportunity:
- Salary up to $33.22 per hour
- Opportunity for career advancement and growth within the organization
- Hybrid work model offering flexibility for better work-life balance
- Supportive and collaborative work environment
- Chance to make a positive impact on patient care through innovative solutions

What to Expect (Job Responsibilities):
- Independently manage the full prior authorization lifecycle, ensuring timely approvals while navigating complex payer policies
- Collaborate with the billing tool provider and internal teams to enhance billing efficiency
- Spearhead efforts to troubleshoot complex denials and reimbursement challenges
- Facilitate communication between ordering physician offices and internal teams for efficient claim resolution
- Contribute to the design and implementation of training and quality assurance programs

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 formal appeals
- Proficiency in computer use, data entry, and above-average typing skills
- Intermediate to advanced knowledge of MS Office, including Excel
- High school diploma or equivalent; bachelor’s degree or equivalent work experience preferred

How to Stand Out (Preferred Qualifications):
- Experience working with a broad range of payers and appealing to state-level agencies or external reviews
- Familiarity with laboratory billing, EDI enrollment, and payer portals
- Background in managing multiple accounts with high volume

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