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Join a dedicated healthcare provider supporting patients in the Springfield area. This organization is known for its collaborative environment and commitment to providing exceptional patient care. As an Authorization Coordinator, you’ll play a vital role in ensuring timely treatment access for oncology patients and contribute to a mission-driven team. This role offers stability and a chance to make a lasting impact by supporting patient access to crucial treatments, all within a supportive, team-based environment.
Job Responsibility:
Submit prior authorizations, referrals, and precertifications for radiation oncology services
Track authorization status, follow up, and secure approvals within required timeframes
Manage denied authorizations and lead the appeals process to resolution
Communicate authorization issues and requirements to physicians, clinical, and billing teams
Review payer guidelines to ensure medical necessity and compliance
Maintain accurate documentation across clinical and authorization systems
Build relationships with insurance payers to improve approval outcomes
Participate in team meetings and contribute to ongoing process improvements
Requirements:
High School Diploma or equivalent required
Minimum 1 year of hands-on prior authorization experience
Working knowledge of payer rules for commercial insurance, Medicare, Medicare Advantage, and Medicaid
Excellent attention to detail and ability to manage multiple priorities
Strong communication and customer service skills
Reliable, organized, and comfortable working fully onsite
Nice to have:
Oncology experience strongly preferred
Familiarity with ICD-10, CPT, and HCPCS codes
What we offer:
Comprehensive benefits package including medical, dental, and vision insurance
Generous paid time off: two weeks PTO and two weeks paid sick time
Discretionary annual bonus opportunities based on company performance
Unique employee perk: access to a company-owned rental property after one year of employment
Employee Stock Ownership Plan (ESOP): Company is 100% employee-owned
Annual share allocations based on salary, fully vested after three years
Shares can be cashed out at retirement, offering long-term wealth-building