TEKsystems
Clinical Insurance Specialist – Chemotherapy Authorization
TEKsystems, Austin, Texas, us, 78716
Clinical Insurance Specialist – Chemotherapy Authorization
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Clinical Insurance Specialist – Chemotherapy Authorization
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TEKsystems Under general supervision, reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary precertification’s and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. Responsibilities
Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Updates coding/payer guidelines for clinical staff and tracks pathways. Obtains insurance authorization and pre‑certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. Researches additional or alternative resources for non‑covered chemotherapy services to prevent payment denials. Qualifications
High school degree or equivalent. Associate degree in Healthcare, LPN state license and registration preferred. Minimum two (2+) years of radiation, chemo, or surgery medical insurance verification and authorization required. Benefits
Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan – Pre‑tax and Roth post‑tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long‑term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type: Remote. Remote (in Texas area). This is a fully remote position. Application Deadline: This position is anticipated to close on Oct 29, 2025. TEKsystems is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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Join to apply for the
Clinical Insurance Specialist – Chemotherapy Authorization
role at
TEKsystems Under general supervision, reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary precertification’s and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. Responsibilities
Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Updates coding/payer guidelines for clinical staff and tracks pathways. Obtains insurance authorization and pre‑certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. Researches additional or alternative resources for non‑covered chemotherapy services to prevent payment denials. Qualifications
High school degree or equivalent. Associate degree in Healthcare, LPN state license and registration preferred. Minimum two (2+) years of radiation, chemo, or surgery medical insurance verification and authorization required. Benefits
Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan – Pre‑tax and Roth post‑tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long‑term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type: Remote. Remote (in Texas area). This is a fully remote position. Application Deadline: This position is anticipated to close on Oct 29, 2025. TEKsystems is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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