Advance Authorization Specialist

Advocate Health

Base: $21.85 - $32.80; bonus/equity: not specified...
Fully remote
Complex authorizations
Oncology treatment plans
High volume stat request mailbox
Advocate Health is seeking an Advance Authorization Specialist to manage complex authorizations related to oncology treatments in a fully remote capacity. The role requires either a Bachelor's degree or three years of authorization experience, along with proficiency in medical terminology and coding

Job Summary

  • Assess time sensitive Referral Work Queues to obtain highly complex authorizations including IP/OP Chemotherapy, Radiology, specifically related to Oncology treatment plans, IP/OP Surgeries, Molecular and Genetic Laboratory Testing, specialty related PT/OT and Speech Therapy, Psychiatry, Neuro/Psych Evaluations, and Rehab evaluations.
  • Manage high volume Stat request mailbox for all oncology facilities for potential life altering, high-cost treatment and procedures within a short time frame.
  • Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more.

Matching Summary

Match Score: 85

Advocate Health is seeking an Advance Authorization Specialist to manage complex authorizations related to oncology treatments in a fully remote capacity. The role requires either a Bachelor's degree or three years of authorization experience, along with proficiency in medical terminology and coding.

Salary

Base: $21.85 - $32.80; Bonus/Equity: Not specified; Benefits: Comprehensive suite of Total Rewards

Skills & Requirements

Must-have

  • complex authorizations
  • Oncology treatment plans
  • high volume Stat request mailbox
  • interpret medical records
  • medical necessity
  • Advocate Health preferred drug list
  • monthly denials

Nice-to-have

  • Microsoft Excel, Word, Epic experience
  • Databases, hospital registration, billing and clinical systems

Key Requirements

  • Bachelor's Degree or 3 years authorization experience
  • proficient with medical terminology
  • General knowledge CPT and HCPCS Coding

Work Rights

Not specified

Tailored Resume

Cover Letter