Insurance Authorization Coordinator

2 weeks ago

Vancouver, Washington, United States Compass Oncology Full time

Position Overview:

A career dedicated to supporting patients undergoing cancer treatment is more than just a job; it is a profound commitment to care and compassion. At Compass Oncology, we believe in the importance of each team member's role in delivering exceptional patient care.

We are currently seeking a Clinical Authorization Specialist for Diagnostic Imaging. In this pivotal position, you will enhance the patient experience throughout the Cancer Care Continuum by ensuring a seamless process for insurance approvals related to diagnostic imaging services. Your expertise will be vital in navigating any challenges that may arise with diligence and empathy.

Employment Type: Full-Time, 40 Hours

Location: On-site

Salary: Competitive hourly rate

Role Scope: Under general supervision, you will review medical treatments in line with reimbursement policies. You will obtain necessary pre-authorizations and exceptions to prevent delays in treatment reimbursement. Additionally, you will investigate denied claims and explore alternative funding resources to ensure patients receive the care they need. Compliance with the US Oncology Compliance Program, including adherence to the Code of Ethics and Business Standards, is essential.

Key Responsibilities:

  • Evaluate and process the medical necessity of treatment plans and ensure documentation aligns with established pathways.
  • Collaborate with nursing and medical personnel to communicate any specific requirements or restrictions dictated by insurance providers.
  • Provide timely feedback to physicians and management regarding documentation and payer-related issues.
  • Secure insurance authorizations and pre-certifications specifically for diagnostic imaging services, acting as a patient advocate to address reimbursement inquiries and mitigate insurance delays.
  • Research alternative resources for services not covered by insurance to avoid payment denials, offering patients a comprehensive list of community resources, including special programs and financial assistance.
  • Perform additional duties as assigned.

Qualifications:

Minimum Requirements:

Education: High school diploma or equivalent; an Associate's degree in Healthcare or a relevant field is preferred.

Experience: A minimum of three years of experience in medical insurance verification and authorization is required.

About Compass Oncology:
Compass Oncology unites leading cancer specialists across various disciplines to provide comprehensive cancer care and an integrated patient experience. Our physicians possess specialized expertise in specific cancer types, ensuring our patients receive the highest level of care. If you are a dedicated, team-oriented individual passionate about making a difference in patients' lives, Compass Oncology is the right place for you.

Benefits:
At Compass Oncology, we understand that a supportive environment enhances both personal and professional well-being. We offer a competitive benefits package that promotes physical, mental, and financial health, including:

  • Medical, Dental, Vision, Life, and Disability Insurance
  • Health Savings and Flexible Spending Accounts
  • Critical Illness and Hospital Plans
  • Paid Time Off and Holiday Plans
  • Retirement Savings Plans
  • Wellness Programs and Incentives
  • Employee Assistance Programs

Equal Opportunity Employer:
The US Oncology Network is committed to creating a diverse environment and is proud to be 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.

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