OncoHealth · 19 hours ago
Case Review Specialist
United States
Full-time
Remote
Entry, Mid Level
2+ years expOncoHealth is a leading digital health company dedicated to helping health plans, employers, providers, and patients navigate the complexities of cancer through technology enabled services. The Case Review Specialist ensures accurate and timely determinations by processing case documentation and facilitating communication with clinical and non-clinical staff.
BiotechnologyHealthcareAppsInformation TechnologyHealth CareMedicalOncology
Responsibilities
Flexible to work rotational shifts inside our office hours from 8:00 a.m. – 8:00 p.m. EST to cover the operational needs of the company. Shifts can range anywhere between Monday – Friday 8:00 am to 8:00 pm EST and Saturdays 8:30 am - 6 pm EST (Office hours may change/extend upon operational needs)
Process cases and request/maintain clinical documentation and transmit timely determinations via the company’s internal system and/or by phone to the provider and/or member and/or payer
Intake Pre-Authorization requests and/or inquiries on existing pre-authorizations via phone, email, fax or by the portal and ensuring they are responded/processed within the established metrics
Work collaboratively with clinical and non-clinical staff to facilitate case discussions
Fax intake and labeling on weekends/Holidays as needed
Qualification
Required
Bachelor's Degree or relevant experience preferred
A minimum of 2-4 years' administrative experience and/or customer service or relevant educational attainment required
Implementation of systems for program effectiveness and productivity required
Systems/Tools: MS Office Suite proficient
Preferred
Experience working remote independently
Knowledge in pre-authorizations and health insurance client services departments are preferred
Benefits
Full benefit package on your first day
Company bonus
Company
OncoHealth
OncoHealth is a digital health company that focuses on navigating the physical, mental, and financial complexities of cancer care.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$56.5MKey Investors
Arsenal Capital Partners,McKessonBaird CapitalOak HC/FT
2022-05-09Private Equity
2020-05-26Series C· $28M
2018-11-05Series B· $21M
Leadership Team
Rick Dean
Chief Executive Officer | Board Member
Cliff Culver
Chief Operating Officer
Recent News
Company data provided by crunchbase