Sr. Authorization Specialist (Oncology)

Location: United States

Company

hirify.global supports community oncologists through a patient-centric, physician-driven, and technology-powered care model.

What you will do

• Obtain and support pre-authorizations for physician-ordered oncology treatments and procedures.
• Verify insurance benefits and communicate payer requirements, reimbursement issues, pending authorizations, approvals, and denials.
• Maintain accurate authorization documentation in electronic medical records and practice management systems.
• Coordinate with practices, physicians, clinical staff, hospitals, diagnostic facilities, patients, and authorization vendors to resolve discrepancies and referral issues.
• Work with accounts receivable on denials, retro-authorization requests, and medically necessary appeals.
• Support training, process standardization, projects, and implementations across clinics.

Requirements

• High school diploma or GED required.
• Two years of experience in a directly related role preferred but not required.
• Knowledge of clinic office procedures, medical practice, medical terminology, authorization processes, reimbursement methodologies, and collection laws.
• Proficiency with Microsoft Word, Excel, Outlook, databases, patient scheduling systems, and other medical information systems.
• Strong communication, customer service, organizational, multitasking, analytical, and problem-solving skills.
• Professionalism, adaptability, initiative, mature judgment, and strong attention to detail.

Culture & Benefits

• Values-driven culture with startup enthusiasm and support from leaders in oncology, urology, technology, and finance.
• Work focused on supporting independent physicians and improving the lives of patients living with cancer and other diseases.
• Full-time position with attendance as an essential job function.