Employer Industry: Precision Oncology

Why consider this job opportunity:
- Salary up to $33.75 per hour
- Opportunity for career advancement and growth within the organization
- Hybrid work model offering flexibility with defined in-office collaboration days
- Supportive and collaborative work environment
- Chance to contribute to innovative cancer care solutions that improve patient outcomes

What to Expect (Job Responsibilities):
- Contact insurance companies to secure preauthorization for patient services
- Develop and maintain a database of payer authorization requirements
- Manage documentation for payer communication, correspondence, and insurance claim research
- Track, report, and address complex outstanding claims, including troubleshooting EOBs
- Facilitate optimized billing processes aligned with the employer's mission and values

What is Required (Qualifications):
- Minimum of three years of work experience in a healthcare environment focused on healthcare reimbursement
- Knowledge of health plan regulations and processes
- Moderate Excel skills, including sorting, filtering, and performing simple calculations
- Experience coordinating with insurance providers, physicians, and patients for prior authorizations
- Familiarity with laboratory billing, EDI enrollment, and payer portals is a plus

How to Stand Out (Preferred Qualifications):
- Experience appealing to state-level agencies or external level review with IRO/IRBs
- Familiarity with merchant solutions and national as well as regional payers throughout the country

#PrecisionOncology #HealthcareReimbursement #CareerOpportunity #HybridWork #InnovativeSolutions

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.