Job Information
Compass Oncology Authorization Specialist- Diagnostic Imaging in Vancouver, Washington
Overview It may sound cliche, but it is true. A career taking care of cancer patients is a calling for most all of us. It's much more than a job. Each of us has a unique story that brought us to Compass Oncology, but those stories usually share common themes of care, compassion, and commitment. No matter the role each Compass team member serves in, the goal is the same: to provide the best care possible for every one of our patients. Compass Oncology is searching for a Clinical Review Specialist-Diagnostic imaging. You will play a crucial role in how our patients experience the Cancer Care Continuum by supporting our effort to make our patient experience as comfortable as possible. In this role you will be responsible for managing the complex process of insurance approval for diagnostic imaging services and making sure that any hurdles are managed with care and diligence. Employment Type: Full-Time, 40 Hours Location: On-site Vancouver, WA (1498 SE Tech Center Drive, Vancouver, WA 98683) Salary: $19.95-$28.82 Per Hour Scope: Under general supervision, reviews medical regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards. Responsibilities Essential Duties & Responsibilities: Reviews, processes and audits the medical necessity for each patients' treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Provides prompt feedback to physicians and management regarding pathway documentation issues, and payer issues. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis. Obtains insurance authorization and pre-certification specifically for diagnostic imaging services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. Researches additional or alternative resources for non-covered services to prevent payment denials. Provides a contact list for patients' community resources including special programs, drugs and pharmaceutical supplies and financial resources. Other duties as requested or assigned. Qualifications Minimum Qualifications: Education: High school degree or equivalent. Associates degree in Healthcare, LPN state license and registration preferred. Experience/Training: Minimum three (3) years medical insurance verification and authorization required. More About The Company Compass Oncology team brings together leading cancer experts in the fields of surgical, medical and radiation oncology, pathology and palliative care to provide the most comprehensive cancer care possible and an even more cohesive patient experience. In addition, the majority of our physicians specialize in particular cancer types, bringing a heightened level of expertise to our patients. If you are a dedicated, team-oriented, patient-centered individual looking for an opportunity where you are proud of what you do, work hard, have fun, want to learn and go home at the end of the day knowing you made a difference in the lives of our patients; Compass Oncology is the place for you! As a member of The US Oncology Network, one of the nation's largest community-based cancer treatment and research networks, Compass Oncology participates in leading-edge clinical trials through US Oncology research, which has helped develop 89 FDA approved cancer therapies. We serve the P