Advance Authorization Specialist

Advocate Health

Base: $21.85 - $32.80; bonus/equity: not specified...
Fully remote
Complex authorizations
Medical necessity
Drug formulary management
Advocate Health is seeking an Advance Authorization Specialist to manage complex authorizations related to oncology treatments and services, ensuring timely processing of requests for high-cost and potentially life-altering procedures. The position is fully remote, offers competitive pay, and requires a Bachelor’s degree or three years of relevant experience

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 and services, ensuring timely processing of requests for high-cost and potentially life-altering procedures. The position is fully remote, offers competitive pay, and requires a Bachelor’s degree or three years of relevant experience.

Salary

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

Skills & Requirements

Must-have

  • complex authorizations
  • medical necessity
  • drug formulary management
  • denial review

Nice-to-have

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

Key Requirements

  • Bachelor's Degree or 3 years of authorization experience

Work Rights

Not specified

Tailored Resume

Cover Letter