Oncology Prior Authorization Assistant

Job Summary

To support a growing healthcare operations team, the full-time Oncology Prior Authorization Assistant will process prior authorizations, serve as a resource for team members, and collaborate on integrating AI solutions in a remote environment.

Key responsibilities

• Review and verify insurance information and patient eligibility for prior authorizations
• Communicate with healthcare providers to gather necessary medical documentation and submit prior authorization requests
• Monitor and track authorization requests to ensure timely processing and resolution

Required qualifications

• 4+ years of experience with prior authorization and billing in Oncology
• Experience with athenahealth and/or NextGen
• Familiarity with major payors including UnitedHealthcare, Aetna, and Blue Cross Blue Shield
• Experience in client relationships and hands-on leadership roles is a plus
• Ability to engage with C-suite executives