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Authorization Specialist

Company: Aston Carter
Location: Norfolk
Posted on: January 11, 2022

Job Description:

Description: Will be working in office! Monday -Friday position only!! -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence.-Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans. Provides prompt feedback to physicians and management regarding pathway documentation issues, and payer issues with non-covered chemotherapy drugs.-Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis-Obtains insurance authorization and pre-certification specifically for chemotherapy services.-Researches additional or alternative resources for non-covered chemotherapy services to prevent payment denials.-Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization.-Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patients records.-Other duties as requested or assigned.Skills:insurance authorization, financial assitance, insurance verification, cpt codes, icd-10, hcpcs codingTop Skills Details:insurance authorizationAdditional Skills & Qualifications:1+ years of authorization experienceInsurance payer knowledgeCPT coding experience/knowledgeHCPCS coding (see additional info) knowledge is helpfulICD-10 coding knowledge About Aston Carter: At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit Aston Carter is a company within Allegis Group, a global leader in talent solutions.The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email ( for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Keywords: Aston Carter, Norfolk , Authorization Specialist, Other , Norfolk, Virginia

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