Job Description

Rep, Insurance Authorizations

Cancer care is all we do

Hope in healing

Cancer Treatment Centers of America® (CTCA®) takes a unique and integrative approach to cancer care. Our patient-centered care model is founded on a commitment to personalized medicine, tailoring a combination of treatments to the needs of each individual patient. At the same time, we support patients’ quality of life by offering therapies designed to help them manage the side effects of treatment, addressing their physical, spiritual and emotional needs, so they are better able to stay on their treatment regimens and get back to life. At the core of our whole-person approach is what we call the Mother Standard® of care, so named because it requires that we treat our patients, and one another, like we would want our loved ones to be treated. This innovative approach has earned our hospitals a Best Place to Work distinction and numerous accreditations. Each of us has a stake in the successful outcomes of every patient we treat.

Job Description:

***This is a 100% remote role!***

M-F 8:30AM-5:00 PM AZ Time

The Precertification Coordinator reviews and evaluates a prospective and current patient’s insurance coverage after obtaining the benefits from patient’s insurance payer. The Coordinator uses the quoted benefit information to facilitate a decision regarding a patient’s eligibility to be treated at the Outpatient Care Centers (OCC), while ensuring that the Patient Financial Acceptance policy and specific OCC exception policies are applied. The Coordinator also provides pertinent information requested from insurance companies and documents authorization details obtained from insurance companies into the OCC database.  The Coordinator will make requests for peer to peer reviews as necessary to obtain authorizations and approvals for service offerings within the Outpatient Care Centers which may include, but are not limited to, chemotherapy, radiation therapy, and imaging.  Proactive documentation and communication for both prospective and current patients is necessary to ensure accurate and complete billing, correct reimbursement rates, pre-certification requirements, and maximized collections. This individual will communicate daily with OIS, OCC staff, Billers, Account Management Specialists and RCM Shared Services.

Education/Experience Level

  • Must be a high school graduate or equivalent with strong analytical skills and good figure aptitude. Associates Degree preferred.

  • Recommended minimum of 1-3 years’ experience in insurance verification, insurance benefits, precertification, registration, billing and/or collection, in a healthcare / physician office setting or professional environment.

Knowledge and Skills

  • Preferably possesses basic knowledge of medical terminology,

  • Preferably possesses good written and verbal communication skills,

  • Must have experience utilizing PC and other office equipment; must have good working knowledge of Operating Systems to include Microsoft Office Suite.

  • Must have ICD-10, CPT knowledge, and ability to read Explanation of Benefits.

  • Highly recommend understanding and experience with insurance terminology

  • Must have outstanding telephone communication and customer service skills. 

We win together

Each CTCA employee is a Stakeholder, driven to make a true difference and help win the fight against cancer. Each day is a challenge, but this unique experience comes with rewards that you may never have thought possible. To ensure each team member brings his or her best self, we offer exceptional support and immersive training to encourage your personal and professional growth. If you’re ready to be part of something bigger and work with a passionate, dynamic group of care professionals, we invite you to join us. 

Visit:  Jobs.cancercenter.com to begin your journey.

Important Notes

Remote Work Location

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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