Oncology Clinical Nurse Specialist jobs in Adams, NY

Description

Hematology Oncology Associates of CNY (HOACNY), voted one of Central New York’s Best Places to Work, is looking for a full time Prior Authorization/Coverage Analyst to join our professional team. HOACNY provides cancer care services, Monday through Friday, day hours at three convenient locations in East Syracuse, Syracuse and Auburn. If you are a highly motivated, team oriented individual looking to make a difference in your career, please apply now.

Generous benefits package including medical, dental, life, std, ltd,401k/pension, tuition reimbursement, fronted PTO and holiday pay etc. Convenient free parking.

Position is responsible for conducting coverage analysis, obtaining all required prior authorizations for services ordered by our physicians. Also working insurance companies and or patients to obtain and maintain correct insurance coverage information as well as preauthorization requirements. Also if needed assisting with insurance claim denials. Responsible and maintaining the credentialing process for all providers, assistance with insurance companies CPT/HPCS reimbursement, as well as maintaining the spreadsheets and databases associated with duties and responsibilities outlined below. Solid communication with other departments is required at all times.

Hematology Oncology Associates of CNY is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. HOA is also committed to compliance with all fair employment practices regarding citizenship and immigration status.

Requirements

Knowledge of medical insurance industry, laws and regulations is required. Experience in medical terminology is highly preferred. Must be skilled in identifying/investigating problems and arriving at a solution. Skill in computer applications is necessary. Must have an ability to effectively communicate with patients, staff and the public. An ability to accept change is required.

Education: High school level education required / 2 years of college level education preferred

Experience: 1 year office experience