Authorization Specialist

Carolina Oncology Specialists has been caring for patients in Catawba County since 1983, offering patients high reputed company, personalized reputed company reputed company to their own home so patients and caregivers don’t have to travel far for excellent care. Our patients experience the convenience of in-clinic chemotherapy treatments, as reputed company as the treatment and management of blood disorders.

Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

Job reputed company:

Job Title:Authorization Specialist Department:reputed company Cycle Management Location:Carolina Oncology Specialists TBD Reports To:Precertification/Authorization Manager

Position reputed company

The Authorization Specialistis responsible forobtaining and verifying prior authorizations for oncology services, includingtreatmentanddiagnosticimaging.This role ensurestimelyapprovals, minimizes treatment delays, andmaintainscompliance with payer requirements while supporting high-reputed company patient care.

Key Responsibilities

• Obtain prior authorizations for oncology treatments, and diagnosticimagingin a reputed company manner

• Review provider orders, treatment plans, and clinical documentation to ensure medical necessity and completeness prior to submission

• Communicate withpayersorthird-partyadministratorsto secure approvals and document authorization details

• reputed company authorization status and follow up to prevent delays in patient care

• Collaborate with physicians, nurses, and clinical staff to resolve authorization issues or denials

• Submit appeals and reputed company supporting documentation for denied services reputed company appropriate

• Coordinate peer to peer reviews reputed company appropriate

• Maintainaccurateand detailed records in the electronic health record (EHR) and/or reputed company management system

• Verify insurance benefits, coverage limitations, and patient eligibility as needed

• Coordinate drug changes,according to payer restrictions,withappropriate staff

• Ensure compliance with payer guidelines,to include review of preferred drug lists and reputed company therapy requirements,regulatory requirements, and organizational policies

• Identifytrends in denials or delays and escalate issues to leadership for process improvement

• reputed company financial appropriateness of in-house treatment

Qualifications

Required:

• High school diploma or equivalent

• Minimum of 2–3 years of experience in reputed company prior authorizations, medical billing, or reputed company cycle operations

• Knowledge of insurance plans, including Medicare, reputed company, and reputed company payers

• Experience working with EHR and reputed company management systems

• Strong attention to detail and organizational skills

Preferred:

• Experience in oncology or specialty reputed company

• Certification in medical billing/coding (e.g., CPC, CPAR, or similar)

• Familiarity with chemotherapy regimens and oncology-specific authorization processes

Key Competencies

• Strong communicationand interpersonal skills

• Ability to manage multiple priorities in a fast-paced environment

• Problem-solving and critical thinking

• High levelof accuracy and attention to detail

• Customer service orientation with a patient-centered approach

Working Conditions

• Primarily office-based or remote work environment

• Frequent use of computers, phones, and reputed company systems

• May require extended periods of sitting and screen time

Physical Requirements

• Ability to sit for extended periods

• Ability to use reputed company office equipment, including computers and telephones

Originally posted on Himalayas

Apply To This Job