Prior Authorization Specialist Job at University Physicians' Association, Inc. (UPA), Knoxville, TN

N3hZUDM1c0gyUThOTytDaWFEeE53bXQrc2c9PQ==
  • University Physicians' Association, Inc. (UPA)
  • Knoxville, TN

Job Description

Apply

Job Type

Full-time

Description

University Physicians' Association is looking for a full-time Prior Authorization Specialist at University Cancer Specialists , a large medical oncology group within the University of Tennessee Medical Center. Our main campus location consists of 21 providers and is located at the UT Cancer Center within UT Hospital.

Position Summary: This position is responsible for working on the prior authorization team to obtain prior authorizations for radiology and/or medications, schedule appointments for outpatient imaging, and coordinate patient appointments.

Job Type : Full-time; Monday – Friday 7:00a – 3:30pm or 8:00am – 4:30p,

Knowledge/Skills/Abilities

  • Have strong verbal and written communication skills.
  • Be highly organized and self-motivated.
  • Requires effective customer relation skills.
  • Requires good judgment, tact, and ability to problem solve.
  • Able to work effectively in a team environment and independently.
  • Able to use a computer and related software.
  • Prior experience with insurance and prior authorizations is required.
  • Prior oncology experience a plus
  • Prior Cerner experience a plus

Essential Responsibilities

  • Request, follow up, and secure authorizations prior to services being performed.
  • Contact insurance carriers to verify patient’s insurance eligibility, benefits, and requirements.
  • Demonstrate and apply knowledge of medical terminology; high proficiency of general medical office procedures including HIPAA regulations.
  • Communicate any insurance changes or trends to the team and leadership.
  • Maintains a level of productivity suitable for the department.
  • Clearly document all communications in standardized documentation requirements.
  • Other duties as assigned.

Full benefit package available, including PTO, Sick Leave, Medical, Dental, Vision, STD, LTD, Life Insurance, 401k with company match and immediate vesting, Critical Illness, and more!

Requirements

Previous experience in a medical office setting preferred.

Licensure/Certification/Registration: None

Job Tags

Full time, Immediate start, Monday to Friday,

Similar Jobs

Cummins Inc.

Materials Science and Engineering - Co-Op Positions Job at Cummins Inc.

**DESCRIPTION**In this role, you will make an impact in the following ways:+ Utilize knowledge of Materials Science, Materials Engineering or Analytical Chemistry principles and practices to identify and advance solutions to achieve design, manufacturing, and quality... 

University of Delaware

Open Rank Continuing Track Faculty, Medical and Molecular Sciences Job at University of Delaware

 ...Faculty PositionDepartment of Medical and Molecular SciencesThe University of Delaware, College of Health Sciences (CHS) is excited to invite applications...  ...RESPONSIBILITIES:The successful candidate must hold a doctoral degree and ideally have a minimum of 3 years' experience... 

Sodexo

Commissary Executive Chef Job at Sodexo

 ...and Team Development** : A leadership style that inspires, mentors, and builds strong culinary teams aligned with our values of hospitality, integrity, and innovation.**Who We Are**At Sodexo, our purpose is to create a better everyday for everyone and build a better... 

Insight Global

Mainframe Developer Job at Insight Global

Job DescriptionInsight Global is looking for a Mainframe developer in Chicago, IL to help investigate, document, and advise on our clients Mainframe system and their current applications and uses. They will take the information learned and advise on the best method to... 

CEG Solutions

Associate Project Manager, Construction Job at CEG Solutions

 ...onsite at client locations throughout the U.S., with occasional night shifts during project implementation. Key Responsibilities...  ...Qualifications Required: Bachelor's degree in Engineering, Construction Management, or related technical field Minimum 2 years of...