Patient Access & Authorization Specialist
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Job Location:
Tallahassee, FL - USA
Monthly Salary:
Not Disclosed
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
WHO WE ARE & WHAT WE DO
Tallahassee Memorial Healthcare (TMH) is a private nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia. We are a career destination with over 6000 colleagues who reflect the diversity of our community.
TMH is the regions healthcare leader and top provider of advanced care with a 772-bed acute care hospital and the regions only:
- Level II Trauma Center
- Primary Stroke Center
- Level III Neonatal Intensive Care
- Pediatric Intensive Care
- The most advanced cancer heart and vascular orthopedic & surgery programs in the Panhandle.
Our system also includes a psychiatric hospital multiple specialty care centers six residency programs and more than 50 affiliated physician practices.
HOW YOULL MAKE AN IMPACT
Role Summary
Supports timely patient access to radiation oncology and oncology-related therapies by managing authorization workflows monitoring performance within the EPIC environment and identifying opportunities to improve access throughput and financial clearance across the Cancer Center.
Prior Authorization & Financial Clearance
- Manage prior authorization processes for radiation oncology treatments imaging and oncology-related medications.
- Coordinate with payers to obtain timely authorization and resolve denials or requests for additional clinical documentation.
- Partner with radiation oncology providers nursing teams and pharmacy staff to ensure accurate clinical documentation supports authorization requirements.
- Monitor authorization status to prevent treatment delays and maintain continuity of care for oncology patients.
EPIC Workflow & Performance Monitoring
- Utilize EPIC reporting tools and workqueues to track authorization performance treatment readiness and access timelines.
- Pull analyze and interpret operational reports related to authorization turnaround times denials and scheduling readiness.
- Maintain data accuracy within EPIC to support reliable reporting and operational oversight.
Operational Improvement & Access Management
- Identify trends workflow gaps and barriers impacting timely patient access to oncology services.
- Communicate performance insights and improvement opportunities to radiation oncology and broader Cancer Center teams.
- Collaborate with scheduling clinical and financial teams to streamline authorization workflows and improve treatment readiness.
- Support development of standardized processes and best practices for authorization and financial clearance.
Cross-Team Collaboration
- Serve as a liaison between clinical teams pharmacy revenue cycle and payers to facilitate efficient access to oncology care.
- Escalate complex authorization or payer issues to appropriate operational or clinical leadership when needed.
- Contribute to Cancer Center initiatives focused on improving patient access care coordination and operational performance.
Professional Growth & Leadership Development
- Participate in operational improvement initiatives within the Cancer Center.
- Develop expertise in oncology access workflows and EPIC reporting capabilities.
- Serve as a resource to teammates regarding authorization processes and payer requirements.
- Build skills in operational analysis and workflow improvement to support future leadership opportunities within oncology services.
WHAT YOULL NEED TO APPLY
Required Education:
Required: High School Diploma or equivalent; Preferred: Associates Degree Medical Terminology or Health Care Management
Core Skills & Qualifications
- Experience withprior authorization financial clearance or revenue cycle processes(oncology or specialty care preferred).
- Familiarity withEPIC workqueues reporting tools and operational dashboards.
- Strong analytical and problem-solving skills with the ability to interpret data and identify trends.
- Ability to communicate workflow improvement opportunities clearly to clinical and operational teams.
- Strong organizational skills with the ability to manage multiple cases and deadlines in a fast-paced environment.
If you are interested in becoming a part of TMHs legacy of quality & compassionate healthcare we want to know you.
Please submit your application & resume TODAY! We look forward to speaking with you.
Tallahassee Memorial HealthCare is an equal opportunity employer and drug-free workplace. All employment is contingent upon successful completion of a drug screen background check reference verification health assessment and credential/license verification.
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Tallahassee Memorial HealthCare is an equal opportunity employer and drug-free workplace. All employment is contingent upon successful completion of a drug screen background check reference verification health assessment and credential/license verification.
Required Experience:
IC
Key Skills
- Active Directory
- Identity & Access Management
- LDAP
- SAFe
- Assistive Technologies
- Authentication
- Pediatrics Experience
- NVDA
- Sailpoint
- SSH
- SSO
- Oracle
About Company
OUR WHY Tallahassee Memorial HealthCare (TMH) is a community asset that drives the health of our region more than any other organization. Every colleague – in every role – serves as a steward of this crucial asset. We understand the sacred trust given to us by our patients to care for ... View more
