Oncology Authorizations Specialist

Oncology Insurance Authorization Specialist

Location: Remote – Must reside near Allen, Garland, or Richardson, TX

Pay: $25–$27/hour, based on experience

Employment Type: Contract-to-Hire

Work Setting: Remote (local candidates required)

Benefits: This position is eligible for medical, dental, vision and 401(k).

Position Overview

Addison Group is hiring for our client, a large and established oncology healthcare organization, seeking an experienced Insurance Authorization Specialist to support chemotherapy and specialty cancer treatment authorizations.

This position is responsible for obtaining insurance approvals, reviewing medical necessity requirements, resolving authorization issues, and ensuring patients receive timely access to treatment.

The ideal candidate has a strong background in oncology, chemotherapy, or radiation treatment authorizations and understands the urgency and complexity of securing approvals for specialty medical services.

Key Responsibilities

• Obtain insurance authorizations and pre-certifications for chemotherapy and oncology treatments
• Review medical necessity documentation and payer requirements
• Monitor pending authorizations and follow up within 24 hours
• Manage authorization queues for upcoming appointments, working at least one week ahead
• Research denied or rejected authorization requests and determine appropriate next steps
• Communicate coverage restrictions, payer requirements, and authorization updates to clinical teams
• Identify alternative funding resources for treatments not covered by insurance
• Assist patients with insurance and reimbursement-related questions
• Maintain accurate documentation and authorization records
• Stay current on insurance guidelines, medical policies, and oncology authorization requirements
• Participate in team meetings and ongoing workflow discussions

Qualifications

• 2–3+ years of medical insurance authorization or precertification experience preferred
• Oncology, chemotherapy, or radiation oncology authorization experience strongly preferred
• Strong understanding of insurance plans, payer guidelines, and medical necessity requirements
• Experience researching authorization denials and reimbursement issues
• Comfortable communicating with insurance carriers and clinical staff
• Ability to manage high-priority authorizations and meet strict deadlines
• Strong organizational, time management, and problem-solving skills
• Excellent written and verbal communication skills
• Comfortable working independently in a remote environment

Additional Relevant Experience:

• Oncology Financial Counselor or Benefits Coordinator
• Chemotherapy or infusion authorization
• Radiation oncology authorization
• Oncology denial management
• Specialty medication or treatment authorization

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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