Do you have experience in health care prior-authorizations? Are
you looking to work from home with company-provided equipment and an
internet stipend? Do you want a good work-life balance with paid
time off up to 3.5 weeks in your first year plus 10 paid company
holidays? Do you take pride in knowing that you are making a
difference every day in the lives of people with cancer and blood
disorders? If you are then look no further than New England Cancer
Specialists (NECS), a proud Dana Farber affiliate.
NECS is currently seeking a full-time, Monday-Friday
remote Prior Authorization Specialist. Our Prior
Authorization Specialists are responsible for acquiring insurance
prior authorizations for all NECS patients, as directed through
dedicated physician teams. This position makes substantial outbound
calls to insurance companies and utilizes multiple insurance online
payer portals to complete prior authorizations primarily for
imaging, inpatient admissions, second opinions, specialty labs, and
procedures. The ideal candidate will be comfortable answering
multi-line phone systems, triaging calls, resolving issues, and
answering questions from patients and insurance companies. They will
be able to take detailed messages and redirect / forward calls as
necessary. Our Prior Authorization Specialists maintain
confidentiality, meet deadlines to advance patient care promptly,
demonstrate superior customer service skills and the ability to be
effective team players as well as function at high levels independently.
This position is primarily 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 the first Dana
Farber Affiliate practice in the country, striving to provide the
highest quality care and unmatched, holistic support for every
patient, every day.
Complete prior authorizations for all tasked orders.
Communicate clearly with physicians and physician-lead teams any
issues or delays in the completion of tasks/authorizations.
Documents clearly and accurately within the 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 patient's care plan to ensure the best
possible care for every patient. Actively participates in weekly
Scans medical records according to NECS guidelines.
Sorts and routes incoming mail and faxes for the prior
Successfully maintain a pleasant, professional demeanor under
stressful conditions while working with a wide range of patient personalities.
Supports Medical Records by scanning documents into the EMR.
Other duties as assigned by the Office Manager.
Travel: Occasional to Scarborough, ME Clinic is required.