Clinical Insurance Specialist - Chemotherapy Authorization

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.

• 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. Tracks pathways and performs various other business office functions on an as needed

basis

• 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.
• Skills

radiation authorization, chemo authorization, chemotherapy authorization, surgery authorization, Oncology

• Additional Skills & Qualifications

High school degree or equivalent.

Associates degree in Healthcare, LPN state license and registration preferred.

Minimum three (2+ ) years of radiation, chemo, OR surgery medical insurance verification and authorization required.

Remote ( in Texas area)

• Experience Level

Expert Level

• Pay and Benefits

The pay range for this position is $24.00 - $24.00 / hr.

Eligibility requirements apply to some benefits and may depend on your job

classification and length of employment. Benefits are subject to change and may be

subject to specific elections, plan, or program terms. If eligible, the benefits

available for this temporary role may include the following :

• 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

This is a fully remote position.

• Application Deadline

This position is anticipated to close on Oct 29, 2025.

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About TEKsystems :

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company 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.