Virginia Cancer Specialists, an affiliate of McKesson Specialty Health and US Oncology, is seeking a full-time Chemo Authorization Specialist for its administrative office in Fairfax, Virginia.
This role verifies insurance eligibility, benefits, prior authorization, and denied services to help ensure claims are processed accurately and payments are received on time. The position also serves as a liaison between patients, clinical staff, business office staff, and payers to support timely reimbursement and minimize insurance delays.
Key responsibilities include reviewing chemotherapy treatment documentation for medical necessity, obtaining authorizations and pre-certifications, assisting with denial follow-up, maintaining correspondence and filing systems, and supporting patients with reimbursement questions and community resource referrals. The role also helps track payer issues, update coding and payer guidelines, and perform other business office functions as needed.
Qualifications
- High school diploma or equivalent
- Associate degree in Healthcare, Virginia LPN license, or Certified Pharmacy Technician preferred
- Minimum 2 years of medical insurance verification and authorization experience preferred
- Billing and coding experience preferred
Additional expectations
- Working knowledge of chemotherapy authorization requirements for payers
- Familiarity with state and federal coverage and authorization guidelines
- Ability to communicate effectively with patients, physicians, nurses, and payer representatives
- Compliance with confidentiality laws and organizational standards
Location
Virginia, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago