What are the responsibilities and job description for the Oncology Authorization Specialist position at St. Joseph's Health?
Job Description
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.
Qualifications
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”.
Benefits Eligibility: (Full-time and Part-time Employees-over 20 hours a week)
About The Team
St. Joseph’s University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures.
The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women’s health, imaging and pediatrics.
The nursing team at St. Joseph’s University Medical Center, which includes St. Joseph’s Children’s Hospital, has held the Magnet Award for Nursing Excellence, the profession’s highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize™ - one of only 8 Magnet-designated hospitals to ever receive The Magnet Prize, and the only one worldwide to receive the 2010 award.
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.
Qualifications
- 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”.
Benefits Eligibility: (Full-time and Part-time Employees-over 20 hours a week)
- Competitive salary*
- Robust benefits with health, dental, Rx and vision plans
- 403b retirement plan options with company match**
- Health & Wellness*
- Non-Profit Health System – eligible for Federal Student Loan Forgiveness
- PTO, and paid holidays
- Tuition reimbursement
- Employee Assistance Program
- LTD : Long Term Disability
- Life Insurance Options
- Onsite Day care Program
- Available for Per Diem Employees and Part-time Employees working under 20 hours per week.
- 403b Company Match not applicable for Per Diem Employees and Part-time Employees working under 20 hours per week.
About The Team
St. Joseph’s University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures.
The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women’s health, imaging and pediatrics.
The nursing team at St. Joseph’s University Medical Center, which includes St. Joseph’s Children’s Hospital, has held the Magnet Award for Nursing Excellence, the profession’s highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize™ - one of only 8 Magnet-designated hospitals to ever receive The Magnet Prize, and the only one worldwide to receive the 2010 award.