Radiation/Chemotherapy Preauthorization Specialist
Hematology Oncology Associates of CNY · East Syracuse, NY, US
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About the Role
Hematology Oncology Associates of CNY (HOACNY), voted one of Central New York’s Best Places to Work, is looking for a full time Preauthorization Specialist to join our professional team. HOACNY provides cancer care services, Monday through Friday, day hours at three convenient locations in East Syracuse, Camillus and Auburn. If you are a highly motivated, team oriented individual looking to make a difference in your career, please apply now.
Responsibilities
- Obtain medical insurance benefits from various insurance companies, including Medicare.
- Understand the insurance industry preauthorization process, including necessary patient documentation for service approval.
- Understand the peer-to-peer/appeal process if preauthorization is not approved.
- Work with patient's insurance benefits, preauthorizations, and referrals.
- Navigate insurance company websites.
- Identify and investigate problems and arrive at solutions.
- Work in a team-oriented environment.
- Handle billing claims to insurance companies (preferred).
Requirements
- Clear understanding of medical insurance benefits.
- Experience in obtaining medical insurance benefits from various insurance companies, including Medicare.
- In-depth knowledge of the insurance industry preauthorization process.
- Understanding of what patient documentation is needed to get an approval for services.
- Understanding of the peer-to-peer/appeal process if the preauthorization is not approved.
- Familiarity with navigating insurance company websites.
- Excellent phone skills and organization.
- Skilled in identifying/investigating problems and arriving at a solution.
- Ability to work well in a team-oriented environment.
- Professional demeanor.
- Skilled in computer applications.
- Ability to accept change.
- Understanding of the billing claim to insurance companies (preferred but not required).
- 1 year medical billing and coding (helpful but not required).
Skills
- Medical insurance benefits
- Preauthorization process
- Peer-to-peer/appeal process
- Insurance company website navigation
- Phone skills
- Organization
- Problem identification and investigation
- Teamwork
- Professionalism
- Computer applications
- Accepting change
- Medical billing and coding (helpful)
Location
- East Syracuse
- Camillus
- Auburn
Work Type
- Full-time
- Monday through Friday
- Day hours
Experience Level
- 1 year medical billing and coding (helpful but not required)
Education Level
- High school level education required
- 2 years of college level education preferred
Salary/Compensations
- Competitive salary based on experience
- Starting rate for a new grad
- Higher salary for those with additional experience
Benefits
- Stipends/bonuses
- Medical
- Dental
- Life
- STD
- LTD
- 401k/pension
- Tuition reimbursement
- Holidays
- Advanced PTO
- Convenient free parking
About the Company
- Hematology Oncology Associates of CNY (HOACNY) provides cancer care services.
- Voted one of Central New York’s Best Places to Work.
Equal Opportunity
- All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
- HOA is also committed to compliance with all fair employment practices regarding citizenship and immigration status.