Patient Access & Authorization Specialist

Tallahassee Memorial HealthcareTallahassee, FL
5d

About The Position

Role SummarySupports 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.

Requirements

  • Required: High School Diploma or equivalent
  • Experience with prior authorization, financial clearance, or revenue cycle processes (oncology or specialty care preferred).
  • Familiarity with EPIC 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.

Nice To Haves

  • Preferred: Associates Degree, Medical Terminology or Health Care Management

Responsibilities

  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
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