Role Responsibilities
- Obtain pre-authorizations for chemotherapy drugs and oncology procedures
- Coordinate with providers and insurers for timely approvals
- Communicate patient coverage details and financial responsibilities
- Navigate portals like Evicore, Optum, and Availity efficiently
Key Deliverables
Ensure complete and timely submission of authorization requestsMaintain accurate logs of approvals, denials, and appealsStay current on insurance and oncology coding changesSupport physicians with clinical documentation for authorizationSkills Required
insurance verification, epic, nextgen