Authorization Specialist - Diagnostic Imaging

Overview:

It may soun d cliché, 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 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 Hours

Location: 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 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 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 https://compassoncology.com/

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. That's 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 Disability
• HSA and Flexible Spending Accounts
• Critical Illness, Hospital, and Legal Plans
• PTO and Holiday Plans
• Retirement Savings Plans
• Robust Wellness Program and Incentives
• EAP
• Perks
• Jeans Fridays!

For more details: Compass Employee Benefits

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.