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Prior Authorization Specialist / Insurance Reviewer - Clinical

Willamette Valley Cancer Institute and Research Center

In this role, you will help secure insurance authorizations for patient treatments, testing, and surgical procedures. You will work closely with insurance companies and care teams to help patients move forward with recommended care without unnecessary delays. The position requires the ability to thrive in a fast-paced, high-volume environment, manage changing priorities, and maintain strong attention to detail.

The role is onsite in Eugene, Oregon.

Requirements & Qualifications

High school diploma or equivalent.

Minimum 3 years of prior authorization experience.

Revenue cycle experience preferred.

Ability to review, process, and audit medical necessity documentation.

Strong communication skills for working with nursing staff, physicians, pharmacists, and medical staff.

Familiarity with payer guidelines, insurance authorization, and pre-certification processes.

Working knowledge of chemotherapy authorization requirements and applicable state, federal, and HIPAA regulations.

Ability to maintain confidentiality and adapt to changing priorities in a fast-paced clinical environment.

Benefits & Perks

Medical, dental, and vision insurance.

Life insurance.

401(k).

Location

Oregon, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

4 weeks ago

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