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

Activ8 Group

Jr. - Entry Level Recruiter Job at Activ8 Group

 ...reviewer of resumes and applications. Positions at all levels (from Entry level to Management level) Different types of...  ...solving skills Bachelors degree in Disciplines Related to Human Resources, Business, Communication, or Psychology (preferred) VERY... 

Ztek Consulting INC

AMS CAD/Analog Engineer Job at Ztek Consulting INC

 ...Job Title: AMS CAD/Analog Engineer Location: Santa Clara, CA Position Type: Contract Duration: 6 / 12 Month Work Type: Onsite Rate: Pay range offered to a successful candidate will be based on several factors, including the candidate's education... 

Pyrovio

Management Consultant/Analyst Job at Pyrovio

 ...Are you a Management Consultant with a desire to work with a rapidly growing company helping Fortune 500 companies achieve performance excellence? Must be a US Citizen or hold Green Card Status. About Us: We help organizations successfully develop and implement... 

SGS Consulting

ServiceNow Developer Job at SGS Consulting

 ...Job Responsibilities: Leverage ServiceNow to automate processes Design, develop, test, deploy, and maintain applications which support key Aeronautics Sustainment Organization Develop code which interacts with relational databases (e.g. SQLServer, Oracle) Skills... 

TeamSmile

Volunteer & Engagement Coordinator Job at TeamSmile

 ...The Volunteer & Engagement Coordinator plays a vital role in advancing TeamSmiles Mission by overseeing volunteer communication, recruitment, and relationship building across the various communities that TeamSmile serves. This position helps manage the volunteer database...