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Prior Authorization Specialist - Oncology

Requisition ID:

21154447

Business Unit:

Hartford Hospital

Location:

Manchester, CT

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Description

Job Schedule: Full Time
Standard Hours: 40
Job Shift: Shift 1
Shift Details: 40 hours per week; Monday-Friday

Work where every moment matters.

Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.

The Hartford HealthCare Cancer Institute (HHC CI) is a pioneering member of the Memorial Sloan Kettering (MSK) Cancer Alliance. Through the bi-directional collaboration facilitated by this partnership, community providers are better positioned to provide state-of-the-art, evidence-based cancer care to improve the lives of cancer patients. Together, the Hartford Healthcare Cancer Institute and Memorial Sloan Kettering are staying ahead of cancer.

The Hartford HealthCare Cancer Institute focuses on offering our cancer patients an unparalleled network of coordinated services– all under one roof. Our system of care includes a truly integrated team with the most talented, experienced, and compassionate caregivers and physicians, backed by the latest cutting-edge technology.

The Prior Authorization Specialist is
esponsible for processing and submitting authorizations, also in correspondence with providers, patients, insurance companies, specialists and other healthcare representatives. The Prior Authorization Specialist ensures that all referrals and authorizations are documented completely and submitted in a timely manner.  Responsibilities include but, are not limited to:

  • Initiates prior authorizations for medical procedures, tests, and prescriptions as requested by staff, providers, and/or insurers.
  • Documents all prior authorization activities and record activity in the practice management system.
  • Prioritizes and organizes all prior authorization activities.
  • Serve as liaison between patient and insurer & patient and practice.
  • Work on denials and write off’s.
  • Prints and reviews the appointment scheduler up to three (3) days in advance to ensure proper obtaining of authorizations, pre-certifications and referrals prior to services being rendered for patients as required by the different insurance plans/carriers. Identifies self-pay patients.
  • Identifies and resolves problems within the scope of the job duties. Notifies appropriate parties (management) of any situation or issue that is out of the ordinary.
  • Travel between both the Manchester and Avon locations will be necessary

Qualifications

Education:

  • High school diploma or equivalent

Experience:

  • 2years minimum working with insurance authorization with knowledge of CPT and ICD-10 coding practices and medical terminology
  • Experience working with oncology strongly preferred           .
     

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.

 
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