Prior Authorizations Specialists - Healthcare

    • Job Tracking ID: 512708-788207
    • Job Location: Scarborough, ME
    • Job Level: Mid Career (2+ years)
    • Level of Education: High School/GED
    • Job Type: Full-Time/Regular
    • Date Updated: September 01, 2021
    • Years of Experience: 2 - 5 Years
    • Starting Date: ASAP
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Job Description:

New England Cancer Specialists (NECS) is currently seeking a full time, Monday-Friday Medical Secretary/ Prior Authorizations Specialist. The Prior Authorizations Specialist is responsible to acquire insurance prior authorizations for all NECS providers. This position is responsible for making substantial outbound calls to insurance companies and working within multiple insurance payer portals to complete prior authorizations primarily for imaging, inpatient admissions, second opinions, specialty labs, and procedures. Answers multi-line phone system, triage calls, resolves issues and answers questions, takes detailed messages, redirects callers if necessary, forwarding calls to appropriate persons. Maintains confidentiality, meets deadlines and is able to problem-solve. Demonstrates superior customer service skills and the ability to be an effective team player.

This position is primarliy remote, with training and coverage as needed on site in Scarborough ME.  

 

NECS is a private medical practice composed of 13 oncologists and hematologists serving the region from 5 different locations in Maine and New Hampshire. Our mission is to make life better for people with cancer and blood disorders. Kindness, compassion, and respect are part of everything that we do - from our phone operators to our physicians, every person on our team is important, and everyone makes a difference. We are proud to be an adult oncology member of the Dana-Farber Cancer Care Collaborative, striving to provide the highest quality care and unmatched, holistic support for every patient, every day.  

Job Duties :

  • Complete prior authorizations for all tasked orders. Communicate clearly with physicians and physician-lead teams any issues or delay in completion of tasks/authorizations.
  • Document clearly and accurately within Electronic Medical Record.
  • Schedules appointments with patients for authorized orders, either by phone or in-person after an office visit, following all scheduling guidelines. Works within EMR, ensuring appointments are scheduled to match physician/clinician/procedure availability with patient’s preferences in terms of date and time.
  • Collects and submits clinical information to insurance companies. Writes appeal letters to insurance companies as needed.
  • Communicates clearly and professionally to patients and staff. Accurately communicates all necessary instructions for upcoming appointments, scans or procedures to patients.
  • Returns all phone calls by the end of the same business day.
  • Communicates consistently and frequently with provider teams, and changes to or effecting patients care plant to ensure the best possible care for every patient. Actively participates in weekly team meetings.
  • Scans medical records according to NECS guidelines.
  • Sorts and routes incoming mail and faxes for prior authorization department.
  • Successfully maintain a pleasant, professional demeanor under stressful conditions working with a wide range of patient personalities.
  • Supports Medical Records with scanning documents into the EMR.
  • Other duties as assigned by Office Manager.

Travel: Occasional to Frequent travel to our Scarborough, ME Clinic is required.

Experience and Skills:

  • High school diploma or GED required.
  • Minimum one year in Medical Prior Authorizations required, with experience is oncology or specialty medicine perfferd
  • Knowledge and application of medical terminology required.
  • Previous experience with electronic medical record systems required.
  • Exceptional customer service experience required.

 

 

Benefits

New England Cancer Specialists offers competitive pay and a comprehensive benefits package to our employees.  Our benefits include medical, prescription, dental, and vision insurances.  Company-paid Life Insurance, Short Term, and Long-Term disability insurances as well as Long Term Care insurance.  Other benefits include a company-sponsored retirement program, generous Paid Time Off in addition to 10 Company-paid holidays, a Wellness Program, and other voluntary benefits.  Benefits are effective 1st of the month after your hire date.


Equal Employment Opportunity Policy

New England Cancer Specialists provides equal employment and promotional opportunity to all qualified employees and applicants, on the basis of experience, knowledge, training, education, ability to perform the essential functions of a position, and overall performance. All employment and promotional opportunities will be conducted in a lawful basis without regard to an individual’s race, gender, age, religion, national origin, ancestry, color, physical or mental disabilities, sexual orientation, marital status, veteran status, or other characteristic protected under Federal, State, or local law.

If you need assistance in the application or hiring process to accommodate a disability, you may request an accommodation at any time by contacting Human Resources at (207) 303-3372 or email us at jobs@newecs.org.