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

ScionHealth

Transporter I Job at ScionHealth

 ...we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary ~ The Transporter is responsible for the safe and timely movement of patients, equipment, and supplies throughout the hospital. This role plays a... 

Spectrum Healthcare Partners

Radiologist - Pediatric Radiologist - Portland, Maine Job at Spectrum Healthcare Partners

 ...Pediatric Radiologist Opportunity in Beautiful Portland Maine Spectrum Healthcare Partners is seeking a Board Eligible/Board Certified Diagnostic Radiologist with Pediatric Radiology fellowship training to join our team. We provide Pediatric Radiology services to... 

Johnson Controls

HVAC Truck Based Customer Support Coordinator Job at Johnson Controls

HVAC Truck Based Customer Support Coordinator Location High Point, NC : Build your best future with the Johnson Controls team As a global leader in smart, healthy and sustainable buildings, our mission is to reimagine the performance of buildings to serve people, places... 

UF Health

Medical Laboratory Scientist/Medical Technologist I Microbiology/Virology Lab I Variable | PRN Job at UF Health

Overview FTE: .10 Shift Hours: VARIABLE Days of Week: VARIABLE Performs simple and complex analysis on tissue, blood and body fluids using laboratory instrumentation, manual methods and procedures. Approves the performance of tests by technicians. Assumes accountability...

Deloitte

Enterprise Risk Management Manager Job at Deloitte

 ...Enterprise Risk Management Manager, you are responsible for executing risk management projects for client(s) including planning the ERM program design, developing the ERM program and implementing ERM program strategies. Our enterprise risk management professionals advise...