Oncology Prior Authorization Specialist

Are you looking for a rewarding career in the healthcare industry? Do you have a passion for helping patients and ensuring they receive the best possible care? MedStar Health is seeking a highly motivated and detail-oriented Oncology Prior Authorization Specialist to join our team. In this role, you will play a crucial role in obtaining prior authorizations for oncology treatments, ensuring seamless and timely care for our patients. If you have experience in prior authorizations and a strong understanding of oncology treatments, we encourage you to apply and become a part of our dedicated team.

1. Obtain Prior Authorizations: The Oncology Prior Authorization Specialist will be responsible for obtaining prior authorizations from insurance companies for oncology treatments for patients.
2. Ensure Timely and Seamless Care: It will be the responsibility of the specialist to ensure that prior authorizations are obtained in a timely manner, so that patients can receive their treatments without any delays or interruptions.
3. Understand Oncology Treatments: The specialist must have a strong understanding of oncology treatments and be able to accurately communicate the necessary information to insurance companies to obtain prior authorizations.
4. Communicate with Insurance Companies: The specialist will be responsible for communicating with insurance companies to obtain prior authorizations, providing necessary documentation and answering any questions or concerns they may have.
5. Advocate for Patients: The specialist must be a strong advocate for patients, ensuring that they receive the best possible care and that their treatment plans are not hindered by insurance barriers.
6. Maintain Records: It will be the responsibility of the specialist to maintain accurate and up-to-date records of prior authorizations obtained and any communication with insurance companies.
7. Collaborate with Healthcare Team: The specialist will work closely with the healthcare team, including physicians, nurses, and other specialists, to ensure that the prior authorization process runs smoothly and efficiently.
8. Stay Updated with Insurance Policies: The specialist must stay updated with insurance policies and changes in prior authorization requirements, and communicate these updates to the healthcare team.
9. Uphold Confidentiality: The specialist must uphold patient confidentiality and adhere to all HIPAA regulations when handling sensitive information.
10. Provide Excellent Customer Service: The specialist must provide excellent customer service to patients and their families, as well as insurance companies, in all communication and interactions.

According to JobzMall, the average salary range for a Oncology Prior Authorization Specialist in Baltimore, MD, USA is $60,000-$80,000 per year. This may vary depending on factors such as experience, education, and employer.

MedStar Health is a not-for-profit healthcare organization. It operates more than 120 entities, including ten hospitals in the Baltimore–Washington metropolitan area of the United States.