Oncology Authorization Specialist

About

Calpion is an 18-year-old Dallas-headquartered technology firm that offers customers artificial intelligence solutions by building custom deep learning and machine learning algorithms, custom enterprise application development and maintenance, RPA solutions, cloud services, Salesforce consulting, customized invoice management software solutions, and other technology services. We also offer automated bot-driven medical billing services. Our healthcare offering includes a Salesforce platform-based practice management and billing software with automated patient e-statements and a payment portal.

Along with being SOC-certified and HIPPA-compliant, we have:

• Certified experts in deep learning & machine learning to provide intelligent solutions for your business.
• Helped Fortune 500 companies build custom enterprise-level applications.
• Provide remote & accurate AutoCAD Drawing, Drafting, 2D &3D modeling, and design services.
• Strategic partnerships with Microsoft, Amazon, SAP, HP, Worksoft, Microfocus, Tricentis, etc.
• Partnered with UiPath to provide RPA solutions.
• We are headquartered in Dallas with multiple global Centers of Excellence around the industry.

Focus: Healthcare, Logistics, Supply chain, Biotechnology, Hospitality, Manufacturing, and Airlines.
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Life at Calpion Inc.

Calpion offers a unique work environment that is both thrilling and enriching, fostering personal and professional growth. Our company is a hub of innovation, collaboration, and continuous learning, where we encourage our employees to adopt a positive mindset and strive for excellence.

At Calpion, you'll be part of a vibrant team that thrives on creativity and problem-solving. You'll have the chance to work on cutting-edge projects, harnessing the latest technologies and methodologies to deliver intelligent solutions that make a real difference for our clients.

Calpion prioritizes the well-being of its employees and fosters a supportive and inclusive culture that promotes work-life balance. If you are enthusiastic about joining a vibrant organization that values your input, Calpion is the ideal place to pursue your career goals.
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Job Title: Oncology Authorisation Specialist

Report To: Team Leader

Experience: 1 - 5 Years

Qualification: PUC

Location: Bangalore / Coimbatore

Shift Time: 09:00 AM - 06:00 PM

Mode: Work from office

Terms-Fulltime/Part time/Contractual: Full-Time
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Job Summary

As an Oncology Authorization Specialist, you will be crucial in obtaining and managing authorizations for oncology-related treatments and procedures. This position requires a deep understanding of insurance protocols, Clinical questions, and oncology treatment processes.
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Key Responsibilities

• Obtain pre-authorization for complex oncology treatments, medications, and procedures from insurance providers (Chemo Drugs).
• Demonstrate proficiency in understanding and navigating various oncology regimens, drugs, and dosages.
• Collaborate with healthcare providers, physicians, and insurance companies to ensure timely authorization approvals.
• Verify insurance coverage and communicate with patients regarding authorization status and any potential financial responsibilities.
• Maintain accurate and up-to-date records of authorization requests, approvals, and denials.
• Stay informed about changes in insurance policies, coding regulations, and reimbursement processes related to oncology services.
• Utilize and navigate authorization portals like Carelon, Evicore, Optum, Availity, etc., to streamline the authorization process.
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Mandatory Skills

• Excellent communication and interpersonal skills.
• Detail-oriented with the ability to manage multiple tasks simultaneously.
• Proficient in using NextGen & Epic.
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Desired skills

• Minimum of [2] years of experience in oncology authorization or a similar role.
• Strong knowledge of RCM, insurance procedures, and oncology treatment processes.
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Talk about our culture and values

At Calpion, we're not just a company—we're a dynamic culture fueled by six core values: Agile, Collaborative, Innovative, Fun, Inclusive, and Passionate. These values drive our every move:

Agile: We thrive on change, adapting swiftly to new challenges.

Collaborative: Together, we achieve greatness through teamwork and diverse perspectives.

Innovative: We push boundaries, constantly exploring new ideas and solutions.

Fun: Laughter and camaraderie make our workplace a joyous one.

Inclusive: Diversity is our strength, ensuring every voice is heard and valued.

Passionate: We approach every task with dedication and enthusiasm.

Join us at Calpion and be part of a culture that's not just about work—it's about innovation, growth, and making an impact.