Charlotte, North Carolina, United States · Remote OK
Carolina Oncology Specialists has been caring for patients in Catawba County since 1983, offering patients high quality, personalized healthcare close to their own home so patients and caregivers don’t have to travel far…
Skills: Prior Authorizations, Medical Billing, Revenue Cycle Management, Insurance Verification, Clinical Documentation Review
Flint, Michigan, United States · On-site
Our Mission: At The Cancer & Hematology Centers we are dedicated to help, healing and hope for cancer patients and their families. We provide our patients with advanced treatments, innovative research and, above all else…
Skills: Peripheral IV Access, PICC/Port Management, Chemotherapy Administration, Patient Assessment, Nursing Diagnosis
San Antonio, Texas, United States · On-site
Why Join Us? The START Center is growing! We are pioneering premier Cancer Care for our patients with leading doctors, advanced diagnostics and cutting-edge therapies. We offer competitive wages, benefits, and yearly bon…
Skills: Vital Signs, Venipuncture, Patient Care, EMR Filing, Chart Preparation
Winnsboro, Louisiana, United States · On-site
Mary Bird Perkins Cancer Center is Louisiana’s leading cancer care organization, caring for more patients each year than any other facility in the region. And with strategic hospital and physician partnerships, we are de…
Skills: Patient Registration, Medical Scheduling, Insurance Verification, Payment Collection, Authorization Process
Shirley, New York, United States · On-site
Why Join Our Team? At New York Cancer & Blood Specialists (NYCBS), we are dedicated to making a difference in the lives of our patients, their families, and our communities. Our passionate team of expert oncologists, hem…
Skills: Clinical Trial Enrollment, Informed Consent, Patient Coordination, Data Collection, EMR Proficiency
Ridge, New York, United States · On-site
Why Join Our Team? At New York Cancer & Blood Specialists (NYCBS), we are dedicated to making a difference in the lives of our patients, their families, and our communities. Our passionate team of expert oncologists, hem…
Skills: Venipuncture, Specimen Collection, EKG, Point-of-Care Testing, Instrument Sterilization
United States · Remote OK
OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and …
Skills: Insurance Pre-authorization, Appeals Process, ERISA Regulations, Insurance Reimbursement, Medical Terminology
Boynton Beach, Florida, United States · On-site
Hematology Oncology Associates was established in Palm Beach County over 35 years ago, and has grown to include 10 Board Certified Hematologist and Oncologists and 6 Nurse Practitioners in 3 convenient locations within o…
Skills: Patient Scheduling, Insurance Verification, HIPAA Compliance, Medical Billing, Patient Communication
Baton Rouge, Louisiana, United States · On-site
Mary Bird Perkins Cancer Center is Louisiana’s leading cancer care organization, caring for more patients each year than any other facility in the region. And with strategic hospital and physician partnerships, we are de…
Skills: Oncology Pharmacy, Sterile Compounding, Clinical Pharmacy Leadership, Drug Management Strategies, Patient Education
Grand Rapids, Michigan, United States · On-site
Our Mission: At The Cancer & Hematology Centers we are dedicated to help, healing and hope for cancer patients and their families. We provide our patients with advanced treatments, innovative research and, above all else…
Skills: Vital Signs Collection, Medication Reconciliation, Patient Interviewing, EMR Documentation, Medical Record Management
Massapequa, New York, United States · On-site
Why Join Our Team? At New York Health (NYH), we are revolutionizing healthcare with a holistic, integrated approach. Our multidisciplinary team of physicians, nurses, and healthcare professionals works collaboratively to…
Skills: Patient Intake, Venipuncture, Vital Signs Recording, Medical Equipment Sterilization, Data Entry
Los Angeles, California, United States · On-site
$21/hr–$23/hr
The mission of The Los Angeles Cancer Network is to provide unparalleled care to each patient that comes through our doors. We offer individualized treatment using the most recent and relevant proven advances in cancer c…
Skills: Patient Scheduling, Insurance Verification, Medical Data Entry, Customer Service, Triage
Port Jefferson Station, New York, United States · On-site
Why Join Our Team? At New York Health (NYH), we are revolutionizing healthcare with a holistic, integrated approach. Our multidisciplinary team of physicians, nurses, and healthcare professionals works collaboratively to…
Skills: Patient Intake, Venipuncture, Vital Signs Recording, Medical Equipment Sterilization, Data Entry
Murfreesboro, Tennessee, United States · On-site
Tennessee Oncology, one of the nation’s largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission …
Skills: Patient Scheduling, Electronic Medical Records, Medical Terminology, Customer Service, MS Office
Port Jefferson Station, New York, United States · On-site
Why Join Our Team? At New York Health (NYH), we are revolutionizing healthcare with a holistic, integrated approach. Our multidisciplinary team of physicians, nurses, and healthcare professionals works collaboratively to…
Skills: Patient Intake, Venipuncture, Vital Signs Recording, Medical Equipment Sterilization, Data Entry
United States · Remote OK
OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and …
Skills: Credentialing, Privileging, CAQH, Database Management, MS Office Suite
New York, New York, United States · On-site
Why Join Our Team? At New York Cancer & Blood Specialists (NYCBS), we are dedicated to making a difference in the lives of our patients, their families, and our communities. Our passionate team of expert oncologists, hem…
Skills: Hematology, Oncology, Cancer Treatment, Patient Care, Clinical Research
Shirley, New York, United States · On-site
Why Join Our Team? At New York Cancer & Blood Specialists (NYCBS), we are dedicated to making a difference in the lives of our patients, their families, and our communities. Our passionate team of expert oncologists, hem…
Skills: Patient Consent, Clinical Trial Coordination, Specimen Processing, Data Collection, EMR Proficiency
Franklin, Tennessee, United States · On-site
Tennessee Oncology, one of the nation’s largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission …
Skills: Patient Assessment, Oncology Nursing, Radiotherapy Care, IV Insertion, Patient Education
Nashville, Tennessee, United States · On-site
OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and …
Skills: Revenue Cycle Management, Healthcare Data Analytics, KPI Development, AI Implementation, Payer Policy Interpretation
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
The Authorization Specialist is responsible for obtaining and verifying prior authorizations for oncology services to ensure timely treatment and compliance with payer requirements. This includes communicating with insurance companies, managing appeals for denied services, and maintaining accurate records in the EHR system.
Candidates must have a high school diploma and 2-3 years of experience in healthcare prior authorizations, medical billing, or revenue cycle operations. Knowledge of Medicare, Medicaid, and commercial insurance plans is required, while oncology experience and medical coding certifications are preferred.
Carolina Oncology Specialists has been caring for patients in Catawba County since 1983, offering patients high quality, personalized healthcare close to their own home so patients and caregivers don’t have to travel far for excellent care. Our patients experience the convenience of in-clinic chemotherapy treatments, as well as the treatment and management of blood disorders.
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Job Title: Authorization Specialist
Department: Revenue Cycle Management
Location: Carolina Oncology Specialists-Remote
Reports To: Authorization Manager
Position Summary
The Authorization Specialist is responsible for obtaining and verifying prior authorizations for oncology services, including chemotherapy, radiation therapy, imaging, and supportive care. This role ensures timely approvals, minimizes treatment delays, and maintains compliance with payer requirements while supporting high-quality patient care.
Key Responsibilities
Obtain prior authorizations for oncology treatments, procedures, medications, and diagnostic services in a timely manner
Review provider orders, treatment plans, and clinical documentation to ensure medical necessity and completeness prior to submission
Communicate with insurance companies, payers, and specialty pharmacies to secure approvals and document authorization details
Track authorization status and follow up to prevent delays in patient care
Collaborate with physicians, nurses, and clinical staff to resolve authorization issues or denials
Submit appeals and provide supporting documentation for denied services when appropriate
Maintain accurate and detailed records in the electronic health record (EHR) and/or practice management system
Verify insurance benefits, coverage limitations, and patient eligibility as needed
Ensure compliance with payer guidelines, regulatory requirements, and organizational policies
Identify trends in denials or delays and escalate issues to leadership for process improvement
Qualifications
Required:
High school diploma or equivalent
Minimum of 2–3 years of experience in healthcare prior authorizations, medical billing, or revenue cycle operations
Knowledge of insurance plans, including Medicare, Medicaid, and commercial payers
Experience working with EHR and practice management systems
Strong attention to detail and organizational skills
Preferred:
Experience in oncology or specialty practice
Certification in medical billing/coding (e.g., CPC, CPAR, or similar)
Familiarity with chemotherapy regimens and oncology-specific authorization processes
Key Competencies
Strong communication and interpersonal skills
Ability to manage multiple priorities in a fast-paced environment
Problem-solving and critical thinking
High level of accuracy and attention to detail
Customer service orientation with a patient-centered approach
Working Conditions
Primarily office-based or remote work environment
Frequent use of computers, phones, and healthcare systems
May require extended periods of sitting and screen time
Physical Requirements
Ability to sit for extended periods
Ability to use standard office equipment, including computers and telephones
Caring for Cancer Patients is a Privilege!
Tennessee Oncology is one of the nation’s largest community-based cancer care specialists and home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission remains unchanged: To provide access to high quality cancer care and the expertise of clinical research for all patients at convenient locations within their community and close to their home. To this day, our growing network of physicians and number of locations is based on this mission. In 2018, Tennessee Oncology joined OneOncology, a partnership of oncologists and industry leading experts driving the future of community-based cancer care in the United States, as a founding practice partner. Physicians specializing in gynecologic oncology, palliative care, radiation oncology, and health psychology comprise our group. Tennessee Oncology provides a full range of diagnostic services, including oncology specific expertise in PET/CT and laboratory services. Clinic locations provide on-site chemotherapy treatments so that patients receive care in their community and close to their home. Our physicians utilize the latest in molecular diagnostics and profiling to choose treatments specific to the genetics of your cancer. Oncology research is the largest area of new drug development. Self -administered medications, those taken by mouth or injected by the patient, comprise approximately 40% of these investigative medications. Tennessee Oncology’s in house pharmacy, Park Pharmacy, stocks oncology and hematology medications not readily available at community retail pharmacies. A URAC accredited Specialty Pharmacy, Park provides insurance and benefits investigation, prior authorization services for insurance coverage, co-pay assistance through manufacturer or foundation programs, extensive medication education, and access to a pharmacist 24 hours a day, 7 days a week.
Offices: 2004 Hayes St, Nashville, Tennessee 37203, US
Caring for Cancer Patients is a Privilege!
Tennessee Oncology is one of the nation’s largest community-based cancer care specialists and home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission remains unchanged: To provide access to high quality cancer care and the expertise of clinical research for all patients at convenient locations within their community and close to their home. To this day, our growing network of physicians and number of locations is based on this mission. In 2018, Tennessee Oncology joined OneOncology, a partnership of oncologists and industry leading experts driving the future of community-based cancer care in the United States, as a founding practice partner. Physicians specializing in gynecologic oncology, palliative care, radiation oncology, and health psychology comprise our group. Tennessee Oncology provides a full range of diagnostic services, including oncology specific expertise in PET/CT and laboratory services. Clinic locations provide on-site chemotherapy treatments so that patients receive care in their community and close to their home. Our physicians utilize the latest in molecular diagnostics and profiling to choose treatments specific to the genetics of your cancer. Oncology research is the largest area of new drug development. Self -administered medications, those taken by mouth or injected by the patient, comprise approximately 40% of these investigative medications. Tennessee Oncology’s in house pharmacy, Park Pharmacy, stocks oncology and hematology medications not readily available at community retail pharmacies. A URAC accredited Specialty Pharmacy, Park provides insurance and benefits investigation, prior authorization services for insurance coverage, co-pay assistance through manufacturer or foundation programs, extensive medication education, and access to a pharmacist 24 hours a day, 7 days a week.
Offices: 2004 Hayes St, Nashville, Tennessee 37203, US
