Precertification Specialist (Oncology)

Location: Teaneck, New Jersey, United States (Remote)

Salary: $18.99–$29.22 per hour

Company

hirify.global supports oncology care delivery through Regional Cancer Care Associates.

What you will do

• Obtain, monitor, and maintain prior authorizations to support uninterrupted patient care.
• Verify patient insurance eligibility, benefits, coverage, and payer requirements.
• Follow authorization procedures accurately and compliantly across multiple systems.
• Follow up with insurance carriers on pending or denied requests and submit appeals or retroactive authorizations.
• Contact patients about out-of-pocket costs, available assistance, and care plan initiation.
• Monitor worklists and denial reports, resolve discrepancies, and escalate issues when needed.

Requirements

• High school diploma or equivalent.
• At least two years of experience in patient access or financial clearance; oncology experience is preferred.
• Advanced knowledge of medical terminology.
• Knowledge of healthcare reimbursement, insurance authorization requirements, industry standards, and applicable regulations.
• Ability to navigate multiple systems, manage competing priorities, and maintain accuracy.
• Completion of required e-learning courses within 90 days of starting the position.

Culture & Benefits

• Fully remote work in an office-based healthcare environment.
• Health, dental, and vision plans.
• Wellness program, health savings account, and flexible spending accounts.
• 401(k), life insurance, short- and long-term disability insurance, and employee assistance program.
• Paid time off, holiday pay, and tuition discounts with participating universities.
• Work focused on patient service, compliance, quality, and continuous improvement.