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

SGS Consulting

Accounts Payable Specialist Job at SGS Consulting

 ...investigate and resolve complex financial issues to prevent the aging of payables. Other duties include the support of requests, providing...  ...products in order to support team deadlines. Skills: Accounts Payable. Invoices. Root cause analysis Education/... 

Anderson Public Library

Local History and Genealogy Librarian Job at Anderson Public Library

 ...Description Job Summary: The Local History and Genealogy Librarian plans, coordinates, and delivers educational programs, services, and reference assistance for library customers. This position reports to the Local History and Genealogy Coordinator and supports exhibits... 

Omni Hotels & Resorts

Senior Stewarding Supervisor Job at Omni Hotels & Resorts

 ...our team at this 605-room convention center hotel in the heart of downtown Oklahoma City. Our luxury hotel is located next to the Paycom Center(OKC Thunder), the Oklahoma Convention Center and across the street from the 70-acre Scissortail Park. The property includes... 

San R&D Business Solutions LLC

ServiceNow Developer Job at San R&D Business Solutions LLC

 ...This is a remote position. Responsibilities: Design and develop ServiceNow applications and modules, including ITSM, CSM, HRSD, and custom applications. Customize ServiceNow forms, workflows, business rules, client scripts, UI policies, and integrations... 

Randstad USA

Video Editor (Remote - Philadelphia) Job at Randstad USA

 ...Video Editor to join their team. This role requires expertise in editing videos across a variety of styles, including engaging social...  ...social media and longer-format content. Edit speeches, integrate audio, and create both short-form and full-length video content....