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Oncology Prior Authorization Specialist-REMOTE

February 16, 2026

Overview <img src="https://theusoncologynetwork.icims.com/icims2/servlet/icims2?module=AppInert&action=download&id=104&hashed=-1157307951" alt="USON Logo">Employment Type: Full TimeREMOTEBenefits: M/D/V, Life Ins., 401(k), PTO, Paid Holidays Clifton Park, New York Pay: $20-$25 Hourly JOB SCOPE: Under general supervision, reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Research denied services and alternative resources to pay for treatment. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards. The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer! About US Oncology The US Oncology Network is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visit <a href="http://www.usoncology.com/" target="_blank" rel="noopener">www.usoncology.com</a>. We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs. Responsibilities ESSENTIAL DUTIES AND RESPONSIBILITIES:<ul><li style="margin-bottom: 0in;">Reviews, processes, and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. </li><li style="margin-bottom: 0in;">Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans. </li><li style="margin-bottom: 0in;">Provides prompt feedback to physicians and management regarding pathway documentation issues, and payer issues with non-covered chemotherapy drugs. </li><li style="margin-bottom: 0in;">Updates coding/payer guidelines for clinical staff.</li><li style="margin-bottom: 0in;">Tracks pathways and performs various other business office functions on an as needed basis </li><li style="margin-bottom: 0in;">Obtains insurance authorization and pre-certification specifically for chemotherapy services. </li><li style="margin-bottom: 0in;">Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. </li><li style="margin-bottom: 0in;">Research additional or alternative resources for non-covered chemotherapy services to prevent payment denials. </li><li style="margin-bottom: 0in;">Provides a contact list for patient’s community resources including special programs, drugs and pharmaceutical supplies and financial resources.</li><li style="margin-bottom: 0in;">Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization. </li><li style="margin-bottom: 0in;">Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient’s records.</li><li style="margin-bottom: 0in;">Other duties as requested or assigned.</li></ul> Qualifications Minimum Qualifications:<ul><li style="margin-bottom: 0in;">High school degree or equivalent. Associates degree in Healthcare.</li><li style="margin-bottom: 0in;">Minimum three (3) years medical insurance verification and authorization required.</li></ul>PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range. WORK ENVIRONMENT: The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.

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DISCLAIMER

Get Hired Faster With COMPANY_NAME!

1: COMPANY_NAME Smart Tools and Direct Employer Connections Help Speed Up Your Hiring Process

2: With Better Matches, Real-time Job Alerts, and Direct Employer Responses, COMPANY_NAME Helps Many Candidates Secure Interviews and Job Offers Within 15 to 30 Days!

3: The Type of Resume You Need to Get Priority Placement

4: Browse Full-Time, Part-Time, and Freelancing Roles With COMPANY_NAME

5: COMPANY_NAME Helps You Grow Your Career

6: The Easiest Way To Find A Job

7: Find Roles That Offer Growth, Culture & Benefits

8: Get Support With Resume, Interviews & Career Planning

9: Your Future Starts Today

10: Get Hired Within 15 to 30 Days With COMPANY_NAME

Oncology Prior Authorization Specialist-REMOTE

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

5. HOW DO YOU PROCESS INFORMATION?

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

8. HOW TO PRIORITIZE WORK?

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

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