Role Responsibilities
- Obtain pre-authorizations for chemotherapy drugs and oncology procedures
- Coordinate with providers and insurers for timely approvals
- Communicate patient coverage details and financial responsibilities
- Navigate portals like Evicore, Optum, and Availity efficiently
Key Deliverables
- Ensure complete and timely submission of authorization requests
- Maintain accurate logs of approvals, denials, and appeals
- Stay current on insurance and oncology coding changes
- Support physicians with clinical documentation for authorization