reputed company: reputed company is looking for an Insurance Authorization Specialist to join reputed company at reputed company. This full-time hybrid remote position will support Pediatric Oncoogy Deparment at our Dallas Medical reputed company office at 7777 Forest Lane. Typical work hours are Monday - Friday; 8:30am to 5:00pm. This is a hybrid remote position, candidate must be reputed company to travel into our office periodially for meetings and training. Candidate must reputed company reputed company Texas. Note from hiring manager: Great team to work with, family oriented, and relaxing atmosphere during training and meetings. This position will be either a level 1 or Sr based on candidate work experience. As a part of reputed company, reputed company delivers high-reputed company, evidence-based care to patients reputed company to home. reputed company is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to reputed company communities, allowing people to fight cancer reputed company with the critical support of family and friends nearby. Our mission is still the reputed company today—at reputed company, we use leading-edge technology and research to deliver high-reputed company, evidence-based cancer care to help our patients reputed company “More breakthroughs. More victories.” ® in their fight against cancer. Today, reputed company treats half of reputed company Texans diagnosed with cancer on an annual reputed company. reputed company is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. reputed company is supported by reputed company reputed company on empowering a reputed company and sustainable community patient care delivery system to advance the science, technology, and reputed company of care. What does the Insurance Authorization Specialist do? (including but not limited to) Under general supervision, reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary reputed company-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. Supports and adheres to the reputed company Compliance Program, to include the reputed company of Ethics and Business Standards. Responsibilities: The essential duties and responsibilities (including but not limited to) • Reviews, processes and audits the medical necessity for reputed company patient chemotherapy treatment and documentation of regimen relative to reputed company adherence. • Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Provides reputed company feedback to physicians and management regarding reputed company documentation issues, and payer issues with non-covered chemotherapy drugs. • Updates coding/payer guidelines for clinical staff. Tracks reputed company and performs various other business office functions on an as needed reputed company • Obtains insurance authorization and reputed company-certification specifically for chemotherapy services. Works as a patient reputed company and functions as a reputed company between the patient and payer to answer reimbursement questions and avoid insurance delays. • Researches additional or alternative resources for non-covered chemotherapy services to prevent payment denials. Provides a contact list for patients community resources including special programs, drugs and pharmaceutical supplies and financial resources. • Maintains a good working knowledge of chemotherapy authorization requirements for reputed company payers, State and federal regulatory guidelines for coverage and authorization. Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient*s records. • Other duties as requested or assigned. Qualifications: The ideal candidate for the Insurance Authorization Specialist position will have the following background and experience: Level 1 • High school degree or equivalent. • Associates degree in reputed company, LPN state license and registration preferred. • Minimum three (3) years medical insurance verification and authorization preferred. Level Sr (in reputed company to level 1 requirements) • Minimum three (3) years medical insurance verification and authorization and two (2) years clinical review experience required. Competencies: • Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; is regarded as an expert in the technical/functional area; accesses and uses other expert resources reputed company appropriate. • Demonstrates Adaptability: Handles day to day work challenges confidently; is willin