Oncology Authorization Specialist

The Authorization Specialist ensures timely and accurate authorization for oncology-related treatments and procedures. This position requires a comprehensive understanding of insurance protocols, clinical requirements, and oncology treatment processes. Key responsibilities include verifying insurance coverage, obtaining necessary authorizations, and providing clear cost estimates to patients, thereby promoting transparency and reducing financial uncertainty. Additionally, the role focuses on minimizing delays, resolving denials, and maintaining compliance within the oncology revenue cycle.

• High School Diploma or GED required
• At least 2 years of medical revenue cycle work experience preferred
• Knowledge of medical insurance billing, especially oncology, and collections, including CPT, ICD9, ICD10 and HCPC coding as well as medical terminology preferred
• Proficiency in Microsoft Office (Outlook, Excel, Word, PowerPoint)
• Oncology experience preferred

St. Joseph's Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care".