Iowa City, Iowa
La Jolla, California
Bronx, New York
Indianapolis, Indiana,
Saint Louis, Missouri
Duluth, Minnesota
Research Triangle Park, North Carolina
Posted: 15-Jan-23
Location: Brookline, Massachusetts
Salary: Open
Internal Number: 2023-32565
Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.
- Submit clinical documentation for authorization of various high cost pharmaceuticals, radiopharmaceuticals, and off-label chemotherapy regimens.??
- Collaborate as part of an inter-disciplinary team related to the previously mentioned processes.??
- Serve as a clinical resource to the Revenue Integrity & Billing Compliance team.
- Collaborate with the Prior Authorization Manager to review and appeal rejected claims in a timely fashion.
- Assist in the Revenue Integrity Specialist with prior authorization denials.
- Perform functions important to daily business of the Revenue Integrity Department.
At 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 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.
- Licensed as a Registered Nurse in the Commonwealth of Massachusetts preferred
- Bachelors degree preferred??
- Case Management, Utilization Review or Prior Authorization experience is preferred
- Minimum of 3 years clinical and/or related experience??
- Knowledge of third party payer rules and regulations preferred
- Well organized and able to multi-task quickly and effectively.
- Works well in high-pressure situations.
- Ability to work closely and effectively with peers across the organization and with the medical staff.??
- Motivated, shows initiative, and collaborates well in a team setting.??
- Ability to be flexible and meet the needs of a growing department.??
- Shows strong analytical and problem solving skills.
- Superior written and verbal communication skills
- Strong understanding and ability to work in various computing/information systems and Microsoft Office product suite.??
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 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.
