Talent.com
Regional Cancer Care Associates
Precertification SpecialistRegional Cancer Care Associates • Teaneck, New Jersey
No longer accepting applications
Precertification Specialist

Precertification Specialist

Regional Cancer Care Associates • Teaneck, New Jersey
30+ days ago
Salary
$19.50 hourly
Job type
  • Full-time
Job description

Overview



oin the team at Regional Cancer Care Associates as a Precertification Specialist, where your passion and multi-tasking prowess will directly impact patient lives! Be the vital link in securing treatment authorizations, collaborating with our dynamic healthcare team, and guiding patients through their financial journeys. Whether you're an experienced professional or a fresh graduate ready to dive into oncology care, this is your chance to make a meaningful difference. Step into the forefront of cancer care and help us transform lives today!

Employment Type: Per Diem

Location: Remote

Compensation: $19.50 - 26.29 per hour

Compensation packages based on your unique skills, experience, and qualifications


Responsibilities

  • Monitors assigned worklists and emails to provide front end review for authorization and to answer any questions related to authorizations.
  • Contacts patients to discuss OOP cost, offer assistance options (if available), and coordinate outreach for patient plan initiation (if applicable).
  • Reviews weekly denial report, resolves issues including submitting retro authorization requests or front-end appeals.
  • Adheres to workflow and if issues arise escalates to Supervisor promptly.
  • Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regard to patient records.
  • Performs other duties as requested or assigned.

Qualifications

  • High School diploma or equivalent required
  • Minimum two (2) years of experience in a patient access or financial clearance role. Oncology preferred.
  • Demonstrate advanced knowledge of medical terminology
  • Ability to navigate different systems seamlessly and able to multitask efficiently.
  • Must successfully complete required e-learning courses within 90 days of occupying position

Competencies:

  • Uses Technical and Functional Experience
  • Possesses up to date knowledge of the profession and industry
  • Accesses and uses resources when appropriate
  • Demonstrates Adaptability
  • Handles day to day work challenges confidently
  • Is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change
  • Shows resilience in the face of constraints, frustrations, or adversity
  • Demonstrates flexibility
  • Customer Service o Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized.
  • Uses Sound Judgment
  • Makes timely, cost effective, and sound decisions
  • Makes decisions under conditions of uncertainty
  • Shows Work Commitment
  • Sets high standards of performance
  • Pursues aggressive goals and works efficiently to achieve them
  • Commits to Quality
  • Emphasizes the need to deliver quality products and/or services
  • Defines standards for quality and evaluates products, processes, and services against those standards
  • Manages quality
  • Improves efficiencies

PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment may occur.

Create a job alert for this search

Precertification Specialist • Teaneck, New Jersey

Similar jobs

Work from Home – Product Feedback Support - $25-$45 per hour

GL Highlands, New York
$25.00–$45.00 hourly
Remote
Full-time

We’re looking for Customer Support Product Testers across the US to work from home and help top brands improve their products before they hit the market. Show more

 • Promoted

Strategic Alliances Specialist

ZS AssociatesNew York, NY, United States
Full-time

Strategic Alliances Professional/h2pZS is a place where passion changes lives.As a management consulting and technology firm focused on improving life and how we live it, we transform ideas into im... Show more

 • Promoted

92G Food Service Specialist

Army National GuardCortlandt, NY
Part-time

It takes energy to keep the Army National Guard marching on, and that’s where you take the lead.As a Food Service Specialist for the Guard, it’s your duty to provide the sustenance your fellow Sold... Show more

 • Promoted

Online Customer Experience Specialist

TradeJobsWorkforce10704 Yonkers, NY, US
Full-time

As a Online Customer Experience Specialist, you will be responsible for supporting customers and handling inquiries from the comfort of your home, including: respond to customer inquiries via phone... Show more

 • Promoted

Product Specialist - Contract Furniture Industry at NI Inc. in Ardsley, New York

Disabledperson, IncArdsley, NY, United States
Full-time

Account Manager / Product Specialist.We are seeking a detail-oriented Account Manager / Product Specialist to support our contract furniture sales and operations process.This role is responsible fo... Show more

 • Promoted • New!

Customer Account Specialist

SilverSearch, Inc.Rockland County, NY, United States
Full-time

Customer Service & Order Management Specialist.Hybrid onsite position 3x a week.Sorry, client is unable to consider any candidates that require any type of work visa transfer or sponsorship, now or... Show more

 • Promoted

Credentialing Specialist

ProKatchers LLCNew York, NY, United States
Temporary

Contract (Possibility of extension).The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audi... Show more

 • Promoted

Senior Spirits Specialist/Spirits Specialist

BonhamsNew York, NY, United States
Full-time

Senior Spirits Specialist / Spirits Specialist.Bonhams is one of the world's leading auction houses, with a heritage dating back to 1793 and salerooms across the Americas, Europe, and Asia.The Bonh... Show more

 • Promoted

Recertification Specialist

FairsteadBronx, NY, United States
Temporary

Bronx, New York, United States.Fairstead is a purpose-driven real estate firm dedicated to building affordable communities across the country.Headquartered in New York, with offices in Colorado, Fl... Show more

 • Promoted

Sub-Acute Specialist

Hackensack University Medical CenterHackensack, NJ, US
Full-time

Responsible for all professional activity within the Division of Geriatrics and.Provide clinical continuity of care for the Division of Geriatrics.Performs a History and Physical Examination evalua... Show more

 • Promoted

Performance Specialist, New York

PPG IndustriesNew York, NY, United States
Full-time

As the Performance Specialist, you will improve measurable operational improvement, productivity, and profitability within assigned PPG CDN customers, MSO accounts, and Strategic PPG Customers.You ... Show more

 • Promoted

Revenue Operations Specialist - Non-Profit

AHRC NYCNew York, NY, United States
Full-time

Revenue Operations Specialist - Non-Profit.AHRC New York City is a family governed organization that envisions a socially just world where the power of difference is embraced.We advocate for people... Show more

 • Promoted

Special Warfare Combat Crewman

US NavyPomona, NY, US
Full-time

Special Warfare Combat Crewman (SWCC).Special Warfare Combat Crewmen are elite boat operators who insert and extract SEALs and other special operations forces, conduct high risk coastal and riverin... Show more

 • Promoted

Reservation Manager

U-HaulBronx, NY, United States
Full-time

Return to Job Search Reservation Manager U-Haul is looking for someone who enjoys being part of a team, provides outstanding customer service, is results-oriented and wants to work in a fast-pace... Show more

 • Promoted

Product Specialist

Penske Automotive GroupEnglewood, NJ, United States
Full-time

Land Rover Englewood, a Penske Automotive Group dealership, is looking for knowledgeable and friendly Product Specialists to join our team and deliver extraordinary customer experiences.JOIN OUR TE... Show more

 • Promoted

Senior Revenue Operations Specialist

ContentsquareNew York, NY, United States
Full-time

Senior Revenue Operations Specialist.We are seeking a Senior Revenue Operations Specialist to join our global Revenue Operations team as a strategic partner to our North American Sales and Customer... Show more

 • Promoted

Selective Surrogacy Opportunity — Premium Support & Compensation

Roots SurrogacyLake Mohegan, NY, US
Full-time

Roots Surrogacy is seeking exceptional women for a highly supported, premium surrogacy experience.We work with intended parents who are deeply invested in creating a respectful, connected, and well... Show more

 • Promoted

Optical Specialist

BJ's Wholesale ClubCroton On Hudson, NY, United States
Full-time

BJ’s Wholesale Club is powered by more than 30,000 team members who make a real impact every day.Whether you're stocking shelves, solving problems or shaping strategy, your work helps families save... Show more

 • Promoted

Senior Specialist, Royalties and Music Analytics

TouchTunesNew York, NY, United States
Full-time

Senior Specialist, Royalties and Music Analytics.Location: New York, NY (currently hybrid with up to 50% remote).Your mission on the Music team:.We are looking for a rockstar Senior Specialist, Roy... Show more

 • Promoted

Scheduling Specialist (Primavera P6)

Cubic CorporationNew York, NY, United States
Full-time

The Scheduling Specialist develops master program schedules for highly complex programs and proposals.This position acts as a key member of the Program Management Team.Provides strong guidance to e... Show more