Authorization Specialist - Diagnostic Imaging
Company: Compass Oncology
Location: Vancouver
Posted on: May 19, 2023
Job Description:
Overview: It may sound clich, but it is true. A career taking
care of cancer patients is a calling for most all of us. Its 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 Prior Authorization Coordinator 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
HoursLocation: On-site (Vancouver, Washington)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:
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: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.
Competencies:-Uses Technical and Functional Experience: Possesses
up to date knowledge of the profession and industry; is regarded as
an expert in the technical/functional area; accesses and uses other
expert resources when appropriate.-Demonstrates Adaptability:
Handles day to day work challenges confidently; is willing and able
to adjust to multiple demands, shifting priorities, ambiguity and
rapid change; shows resilience in the face of constraints,
frustrations, or adversity; demonstrates flexibility.-Uses Sound
Judgment: Makes timely, cost effective and sound decisions; makes
decisions under conditions of uncertainty.-Shows Work Commitment:
Sets high standards of performance; pursues aggressive goals and
works efficiently to achieve them.-Commits to Quality: Emphasizes
the need to deliver quality products and/or services; defines
standards for quality and evaluated products, processes, and
service against those standards; manages quality; improves
efficiencies. More About The CompanyCompass 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 Portland and Vancouver
communities with clinical offices located throughout the metro
area.To learn more about Compass Oncology and its daily mission,
please visit our website at Our Benefits: When you feel supported,
both from a health and financial wellness perspective, you have the
energy and motivation to make good things happen whether it is
caring for patients, caring for yourself and your family, or giving
back to your community. Thats why Compass Oncology offers a full
suite of competitive benefits that support your physical, mental
and financial well-being. From health and wellness programs, to
retirement education and plans, we give you the tools to make great
choices for your health and financial wellbeing now and in the
future.For benefit-eligible employees who work 20 hours or greater,
we proudly offer the following:
Medical , Dental, Vision, Life and
DisabilityHSA and Flexible Spending AccountsCritical Illness,
Hospital, and Legal PlansPTO and Holiday PlansRetirement Savings
PlansRobust Wellness Program and IncentivesEAPPerksJeans
Fridays!For more details: The US Oncology Network is an Equal
Opportunity Employer. All qualified applicants will receive
consideration for employment without regard to race, color,
religion, sex, sexual orientation, gender identity, or national
origin.PHYSICAL DEMANDS:The physical demands described here are
representative of those that must be met by an employee to
successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions. While performing
the duties of this job, the employee is required to be present at
the employee site during regularly scheduled business hours and
regularly required to sit or stand and talk or hear. Requires full
range of body motion including handling and lifting patients,
manual and finger dexterity, and eye-hand coordination. Requires
standing and walking for extensive periods of time. Occasionally
lifts and carries items weighing up to 40 lbs. Requires corrected
vision and hearing to normal range. WORK ENVIRONMENT:The work
environment may include exposure to communicable diseases, toxic
substances, ionizing radiation, medical preparations and other
conditions common to an oncology/hematology clinic environment.
Work will involve in-person interaction with co-workers and
management and/or clients. Work may require minimal travel by
automobile to office sites.
Keywords: Compass Oncology, Vancouver , Authorization Specialist - Diagnostic Imaging, Other , Vancouver, Washington
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