What are the responsibilities and job description for the Prior Authorization & Medical Records Specialist - Part-Time/Hybrid position at Meridian Park Radiation Oncology Care?
Company Overview
Meridian Park Radiation Oncology Care has been a trusted provider of personalized cancer treatment since 1984. We are dedicated to delivering compassionate, community-focused care that empowers patients throughout their healing journey.
About the Position
We are seeking an experienced, highly organized medical administrative professional to assist primarily with prior authorizations and medical records.
This is a part-time position well suited to someone who has worked in a medical office, specialty practice, hospital, authorization department, or referral department and is comfortable working independently and following matters through to completion.
The position will initially require on-site training in our Tualatin clinic. Once trained and comfortable with our systems and workflows, a portion of the work may be performed remotely.
Primary Responsibilities
- Submit and track insurance prior-authorization requests for radiation oncology services.
- Follow authorization requests through payer and utilization-management portals and proactively address outstanding requirements.
- Obtain medical records, pathology reports, imaging reports, physician notes, and other documentation required for patient care and authorization.
- Communicate with referring physician offices, hospitals, imaging centers, insurance companies, and utilization-management organizations.
- Identify missing information and follow up until documentation or authorization is complete.
- Maintain accurate authorization status and documentation within the patient's electronic medical record.
- Assist with denial follow-up and authorization-related documentation under the direction of clinic staff and physicians.
- Coordinate peer-to-peer reviews or other payer follow-up when required.
- Maintain strict patient confidentiality and HIPAA compliance.
- Provide occasional administrative support related to referral intake and patient records as needed.
Qualifications
Preferred:
- Previous experience with medical prior authorizations, referrals, medical records, insurance verification, or specialty-practice administration.
- Experience submitting and tracking authorizations through commercial insurance and utilization-management portals.
- Familiarity with electronic medical records.
- Basic familiarity with medical terminology, CPT/ICD-10 coding, or insurance terminology.
- Oncology, radiation oncology, radiology, surgery, or other specialty-practice experience is helpful but not required.
What We Are Looking For
The most important qualities for this position are accuracy, persistence, organization, and follow-through.
We are looking for someone who does not simply submit an authorization request and wait for a response. The successful candidate will actively track outstanding items, recognize when information is missing, communicate with insurers and referring offices, and take ownership of getting the matter resolved.
This position requires someone who is comfortable working independently while also communicating clearly with physicians, clinical staff, patients, referring offices, and insurance companies.
Why This Position May Be Attractive
This is an opportunity for an experienced medical-office professional who prefers a part-time schedule and would like the flexibility of a hybrid position after completing initial training. You will work with a small specialty practice where your work has a direct impact on getting patients authorized and ready for treatment.
Pay: $25.00 - $30.00 per hour
Expected hours: 20.0 – 25.0 per week
Benefits:
- 401(k) matching
- Flexible schedule
- Paid time off
Application Question(s):
- Briefly describe a prior authorization that became stuck or was denied and what you personally did to resolve it.
Experience:
- medical prior-authorization: 2 years (Required)
- obtaining medical records: 2 years (Required)
Ability to Commute:
- Tualatin, OR 97062 (Preferred)
Work Location: Hybrid remote in Tualatin, OR 97062
Salary : $25 - $30