Prior Authorization Specialist - Oncology

United States·Phoenixmid

OtherPrior Authorization Specialist

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Quick Summary

Key Responsibilities

The oncology coordinator is the dedicated advocate for all oncology needs throughout the member’s treatments. Coordinates for chemotherapy, radiation, and surgical oncology.

Technical Tools

OtherPrior Authorization Specialist

At Redirect Health, we’re on a mission to make healthcare accessible and affordable for everyone. We are currently accepting applications for Oncology Coordinator roles.

We are seeking a compassionate and organized healthcare professional looking to make a meaningful impact. As an Oncology Coordinator, you'll play a vital role in supporting our members with cancer by ensuring seamless coordination of their oncology care. We're looking for someone with strong communication skills, a heart for patient-centered care, and a commitment to providing exceptional support to patients and their families. If you're passionate about making a difference and thrive in a collaborative environment, we’d love to have you on our team!

Responsibilities

~1 min read

→The oncology coordinator is the dedicated advocate for all oncology needs throughout the member’s treatments.
→Coordinates for chemotherapy, radiation, and surgical oncology.
→Obtain all pertinent treatment details specific to the treatment plan and check against plan benefits for accurate service coverage.
→Partner with clinical care teams to ensure a seamless experience for the member and their family across the entire continuum of their treatment.
→Obtains cost details for treatment and will act as the financial advocate to educate and assist members on available resources to support their financial needs to ensure coverage as needed.
→Work closely with leadership and across departments to ensure the best care solution for the member.
→Communicates continually with members, other departments, and care providers to ensure appropriate plans and protocols are followed.
→Performs general office responsibilities, including typing and answering telephone/client inquiries.
→Documents and maintains accurate member records in EMR.
→Act as a positive, collaborative team player by being flexible to achieve the mission of Redirect Health.
→Performs other duties as required.

Proficiency in using Microsoft Word, Excel, and an Electronic Medical Record system, Preferred.
High School or GED - Minimum Required
1-2 Years of case management, customer Service, and/or other experience that directly aligns with the specific responsibilities for this position (Required)
1-2+ Years of Oncology/Surgery Coordination experience, preferred