Authorization Specialist Jobs

Description:

Regional Cancer Care Associates (RCCA) has become one of the largest oncology physician networks in the United States and the largest in the Northeast. With approximately 730 employees at every level of Oncologic healthcare, RCCA is committed to treating cancer patients with the highest-quality treatments and the highest-quality healthcare professionals. Join the fight against cancer today.

“RCCA Benefits and Perks:

We work hard to embrace diversity and inclusion and encourage everyone at RCCA to bring their authentic selves to work every day. We offer flexible work hours and family-friendly benefits to our employees.

• Medical, Dental, Vision, and Life Insurance
• 401K
• Discounted tuition on selected universities/colleges
• Paid Time Off

Regional Cancer Care Associates COVID 19 vaccine mandate policy requires that all new hires be vaccinated or obtain an approved exemption before their start date. More information will be provided to you throughout the interview process.

The Position:

The Authorization Specialist will work on a team and will share in the responsibilities of completing the below tasks:

• Respond and reply to emails with the Precert Team on a daily basis
• Act as a liaison between the Precert Team and the office/patients for all infusion treatment authorizations
• Complete drug prior authorizations and appeals
• Order drugs in advance of visit
• These would be the main responsibilities of the role – however, being detail-oriented with documentation, follow-up, and strong communication and customer skills will also be needed for this role.
• Assist with any hospital authorizations
• Assist with any add-on authorizations (emergent treatments which are needed in less than 3 days)
• Follow through on entering PSM (patient-supplied med) alert into chart
• Communicate updates to the patient
• Assist with completing and submitting applications for financial assistance, when needed
• Communicate, internally with the office, as needed
• Following through on the entire authorization process until completion; ensuring that the final step, of patient being scheduled is completed
• Connect with patients pharmacy benefit plans when treatment is not covered through medical benefits

Requirements:

• Minimum two years of relevant experience.