Hybrid Pre Authorization Representative - Medical Oncology bei Arnot Health

Arnot Health is seeking a detail-oriented and service-driven Pre-Authorization Representative to join our Medical Oncology team. In this vital role, you will help ensure patients receive timely access to care by securing insurance pre-authorizations for outpatient exams and procedures. This position requires a strong understanding of medical terminology, CPT/ICD-9 coding, and insurance processes, as well as excellent communication and organizational skills.

Key Responsibilities

• Obtain pre-authorizations for outpatient medical oncology services in a timely and accurate manner

• Review appointment schedules daily to confirm all procedures have insurance approval

• Communicate effectively with patients, providers, physician offices, and insurance carriers

• Apply knowledge of CPT, ICD-9, HCPCS codes, and Medicare requirements to ensure maximum allowable reimbursement

• Resolve pre-authorization issues by collaborating with departments and providers

• Maintain accurate documentation in the hospital’s computer systems while adhering to confidentiality standards

• Demonstrate professionalism, courtesy, and a patient-first approach in all interactions

Qualifications

• High school diploma or equivalent required; hospital or clinical experience preferred

• Experience in medical coding (ICD-9/CPT) or prior billing experience required

• Knowledge of insurance processes and Medicare requirements

• Strong organizational, communication, and customer service skills

• Ability to manage multiple tasks, set priorities, and meet deadlines

If you are ready to use your skills to make a direct impact on patient care and join a supportive healthcare team, we invite you to apply.