Overview
Reporting to the Radiology Authorization Supervisor, the Radiology Authorization Specialist is responsible for independently managing all work related to medical necessity-based authorizations for all diagnostic imaging services ordered by Dana-Farber Cancer Institute (DFCI) providers.
Working in a fast-paced, high-volume, dynamic environment, the Radiology Authorization Specialist will demonstrate strong understanding of payer coverage policies, applying appropriate payer guidelines to all aspects of radiology prior authorization work. The Specialist will leverage their strong understanding of medical terminology and physiology to retrieve the appropriate clinical documents (e.g., progress notes, lab values, scan results) from within the electronic medical record (EMR). The Radiology Authorization Specialist will create thorough, concise prior authorization requests to all payers.
Located in Boston and the surrounding communities, Dana-Farber Cancer Institute brings together world renowned clinicians, innovative researchers and dedicated professionals, allies in the common mission of conquering cancer, HIV/AIDS and related diseases. Combining extremely talented people with the best technologies in a genuinely positive environment, we provide compassionate and comprehensive care to patients of all ages; we conduct research that advances treatment; we educate tomorrow’s physician/researchers; we reach out to underserved members of our community; and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.
Responsibilities
Qualifications
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission At to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff. Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.
Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other groups as protected by law.
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