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

Home Family Care

Customer Service Representative (CSR) Job at Home Family Care

 ...performance metrics Required Skills and Qualifications - Empathy, patience, active listening, and conflict resolution skills - Proficiency in CRM tools (such as Salesforce and Zendesk), Microsoft Office, and typing - Clear spoken and written English skills... 

UPMC

Optometrist Job at UPMC

 ...Clinical Assistant Professor in Pittsburgh, PA The Department of Ophthalmology at the University of Pittsburgh is seeking a dedicated optometrist to join our team in a high-volume, academically affiliated clinical setting. While the core of this role involves providing... 

City of Lake Charles

Plant Operator Job at City of Lake Charles

 ...Plant Operator Salary Level: Start: $15.95 - Max Rate: $25.65 (R7) FLSA Status: Non-exempt - Hourly SUMMARY Under close supervision, this position is responsible for general mechanical work includes duties for maintaining plants and pump stations. ESSENTIAL... 

MycoTechnology

Food Scientist II - Technical Service Job at MycoTechnology

The Food Scientist II Technical Service position plays a key role within the MycoTechnology Food Applications Team. The primary responsibility...  ...fit-for-purpose solutions. Monitor market trends and share industry intelligence to inform solution development. Take a hands-on... 

Boston University

HISTORY INSTRUCTOR, BU Academy Job at Boston University

 ...Boston University Academy is seeking a full-time history teacher to begin in July 2026as a one-year leave replacement. Primary responsibilities include teaching three to foursections of history. Course placements are still being developed for next year, and wehave some...