Oncology / Infusion Prior Authorization Specialist

The prior authorization specialist is responsible for obtaining and processing all prior authorization requests, coordinating phone calls, entering and tracking data from insurance providers and health plans regarding authorization, expedited reviews, and appeals.  The prior authorization specialist is required to document and track all communication attempts with insurance providers and health plans, follow up on all denials while working to ensure services are validated. The prior authorization specialist works in collaboration with the social worker to obtain financial assistance for patients as necessary.  Previous prior authorization experience or knowledge of Medicare or insurance regulations desirable.