Prior Authorization Specialist Remote (Oncology), Cancer Care

Description

Clerical/Administrative Support
Req #: 11383

We are seeking a motivated and compassionate individual to join our Cancer Care team. In this role, you will have the opportunity to make a direct impact by providing critical support to patients throughout their cancer journey, as well as those managing hematologic conditions. You will work alongside a dedicated team of professionals, all committed to delivering the highest standard of care with empathy, expertise, and a patient-centered approach.

At MaineHealth Cancer Care, we are dedicated to providing comprehensive, compassionate care, offering exceptional treatment and unwavering support to patients throughout their cancer journey and hematologic care. As part of our rapidly growing network, we bring together a skilled team of oncologists, hematologists,advanced practice providers,nurses, medical assistants, and support staff, all working collaboratively to deliver personalized care tailored to each patient's unique needs.

With an emphasis on advanced treatments, state-of-the-art technology, and emotional support, our Cancer Care Network is committed to guiding patients and their families every step of the way. Whether seeking prevention, treatment, post-care services, or hematologic care, we are here to help patients navigate their care with expertise, compassion, and dedication.

Summary:

The Prior Authorization Specialist will ensure all tasks related to obtaining insurance authorizations for diagnostic imaging test and/or procedures meet defined performance metrics.

Additional services requested include:

• Radiology (Ultra Sounds, MRIs, CTs, CT Guided Biopsies)
• Nuclear Medicine (Bone Scans, PET CT Imaging, DEXA Scans)
• Interventional Radiology (Port placements and removals)
• Cardiology (Echos)
• IV Therapy treatments (Chemotherapy, Hematology, and Immunotherapy)
• Lumbar Punctures
• Genetic Testing (blood lab draws testing for genetic variants)

Preferred Requirements:

• Prior authorization experience.
• Understand and be open to continued education on insurance guidelines, procedures, and restrictions regarding the standard of care for Oncology and Hematology patients.
• Excellent communication and interpersonal skills with the ability to communicate clearly in person and on the phone.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education: High school diploma or GED preferred.

2. License/Certifications: N/A

3. Experience: Previous medical office experience preferred.

4. Additional Skills/Requirements Required: N/A

5. Additional Skills/Requirements Preferred: N/A

Remote/Hybrid