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

Ohana Outreach Financial

Entry Level Remote Sales Associate Job at Ohana Outreach Financial

 ...sales career with strong earning potential. Youll help families understand their financial protection options while working entirely from home. You will meet with warm leads, complete virtual consultations, and guide clients through each step of enrollment.... 

Titan Placement Group

Optometrist Job at Titan Placement Group

 ...Optometrist Titan Placement Group invites you to explore an opportunity in the charming city of Ocala, Florida. Known as the Horse Capital of the World, Ocala is famous for its thoroughbred horse farms, beautiful rolling hills, and lush oak trees. With easy access... 

Electrify America

Hardware Strategy Analyst Intern Job at Electrify America

 ...Americas 10week Summer Internship Program targets undergraduate students entering their Junior or Senior years who are eager to acquire...  ...PDF is required. Please note, we are not able to consider OPT/CPT candidates. Possible Tasks within this Role Role Summary... 

smart folks inc

Zscaler Engineer - Remote Position Job at smart folks inc

 ...) policies for security and performance. Integration: Manage integrations with Active Directory (SAML/SCIM), firewalls, SIEM (Splunk), and other security tools. Automation: Develop scripts (Python, PowerShell) for automating routine tasks, testing, and infrastructure... 

Compass Group

ADMINISTRATIVE ASSISTANT (PART TIME) Job at Compass Group

 ...frequency varies. Message and data rates may apply. Text STOP to opt out or HELP for help. Terms and conditions: This position is...  ...with co-workers, school personnel, administrators, student's parents and Supervisor. Complete and maintain accurate and...