Be the First Step in Compassionate Cancer Care.
Are you detail-oriented, proactive, and passionate about making a difference behind the scenes? As our Precertification Analyst, you’ll ensure patients receive timely access to life-saving treatments by navigating insurance approvals with precision and care. Join a dedicated team where your expertise supports hope, healing, and a higher standard of care.

Highlands Oncology began in 1996 with three physicians and a desire to change the face of oncology care in our community. Dr. Malcolm Hayward, Dr. Dan Bradford, and Dr. Thad Beck knew that patients do better at home, in the community where they live and work, and where their support system is already in place. In furthering that goal, Highlands has grown with the region from a single location 26 years ago, to 6 locations in Northwest and Northcentral Arkansas today employing more than 750 diverse team members.

As Northwest Arkansas continues to grow, so must the services and providers available in the region. Highlands Oncology is committed to remaining on the cutting edge to ensure our community has access to the very best cancer care. What we have is something quite unique right here in our own backyard with a caring multidisciplinary team focused on treating patients like family.

Job Summary: The Precertification Analyst for imaging services obtains prior authorizations for services as applicable. Fills out forms online or on paper; retrieves and submits records as needed to obtain authorizations. Works with patients, insurance companies, and clinical staff members.

Job Duties / Responsibilities:

• Review of imaging schedules for Benton County Clinic, North Hills Clinic, and Parkway Clinic daily to determine the insurances that require prior authorization for imaging.
• Answers and resolves incoming calls regarding STAT requests.
• Prompt obtainment of authorization(s) for any urgent add-on requests.
• Maintain accurate and current authorization(s) information in OncoEMR and G4.
• Work closely with imaging personnel to determine what date requires review to guarantee all authorizations are obtained in a timely manner.
• Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans.
• Work closely with the insurance verification team to ensure insurance coverage is up to date.
• Maintain a professional relationship with physician/nurses addressing questions, concerns regarding imaging orders/diagnoses.
• Set up peer-to-peer review as requested.
• Maintain a good working relationship with outside referring providers and staff.
• Maintain patient/clinic confidentiality.
• Ability to cover positions for Outside Treatments/Genetic Testing/In-patient Authorizations, as designated.
• Maintain pleasant/helpful attitude towards patients and staff.
• Perform all related duties as required by the Precertification Supervisor, Revenue Cycle Manager, and Business Office Director.

Required Skills/Abilities:

• Knowledge of g4/PM System & OncoEMR
• Proficient in computer skills.
• Communicates clearly and concisely.
• Ability to work independently and as part of a team.
• Ability to maintain good working relationships.
• Demonstrates attention to detail.
• Strong knowledge of medical terminology.
• Demonstrates professionalism in appearance/dress code.
• Knowledge of ICD-10-CM, HCPCS, and CPT codes.

Certifications/Licenses/Education/or Experience in a related field:

• High School Diploma or equivalent
• Minimum of 1-2 years of medical office experience, preferred.
• Prior authorization experience, preferred.

Physical Requirements:

• Sitting for prolonged periods of time at a desk.
• Computer use that requires visual acuity, typing, use of mouse/keyboard, and staring at a screen for extended periods of time.
• Occasionally lifting objects of up to 25 pounds such as files, office supplies, assisting patients when needed, etc.
• Walking and standing for continuous periods around the office or clinic as needed.
• Fine motor skills for tasks like typing, writing, handling small objects or equipment and materials.

Highlands Oncology offers a full suite of benefits that includes those listed below and MANY MORE...

• Certified a Great Place to Work!