Employer Industry: Precision Oncology

Why consider this job opportunity:
- Salary up to $30.80 per hour
- Opportunity for career advancement and growth within the organization
- Flexible hybrid work model with defined in-office collaboration days
- Supportive and collaborative work environment focused on operational efficiency
- Chance to contribute to innovative cancer care solutions and improve patient outcomes

What to Expect (Job Responsibilities):
- Manage the full prior authorization lifecycle, including navigating complex payer policies and securing timely approvals
- Resolve escalated reimbursement issues and streamline processes for efficiency
- Collaborate with internal teams and ordering physician offices to ensure effective communication
- Maintain comprehensive documentation of payer requirements and support process improvement initiatives
- Contribute to the development and implementation of training programs for team members

What is Required (Qualifications):
- Minimum of 5+ years of healthcare reimbursement experience with a focus on prior authorization and payer relations
- Expert-level knowledge of Medicare, Medicaid, and commercial payer authorization policies
- Proven success in managing complex claims and overturning denials through advanced appeal strategies
- Proficiency with revenue cycle tools and systems, including payer portals and EDI enrollment
- Strong written and verbal communication skills to convey complex issues effectively

How to Stand Out (Preferred Qualifications):
- Experience with laboratory billing workflows and national/regional payer requirements
- Advanced Excel capabilities, including pivot tables and trend analysis for reporting

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