Authorization Specialist-Diagnostic Imaging

Overview It may sound cliché, but it is true. A career taking care of cancer patients is a calling for most 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. Position Compass Oncology is searching for an Authorization Specialist – Diagnostic Imaging. This role supports our effort to make patient experience as comfortable as possible by managing the complex process of insurance approval for diagnostic imaging services and ensuring that any hurdles are handled with care and diligence. The position works Monday–Friday with a flexible schedule. Employment Details Type: Full‑time, 40 hours per week Schedule: Monday to Friday with flexible hours Location: On‑site Vancouver, WA (1498 SE Tech Center Drive, Vancouver, WA 98683) Salary: $20.75 – $32.84 per hour Scope Under general supervision, reviews medical regimens in accordance with reimbursement guidelines, obtains necessary pre‑certifications and exceptions, researches denied services, supports US Oncology compliance, and performs additional business office functions as needed. Responsibilities Review, process, and audit the medical necessity for each patient’s treatment and documentation of regimen relative to pathway adherence. Communicate with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans, and provide prompt feedback to physicians and management regarding pathway documentation or payer issues. Update coding and payer guidelines for clinical staff, track pathways, and perform other business‑office functions as required. Obtain insurance authorization and pre‑certification specifically for diagnostic imaging services, act as a patient advocate and liaison between patients and payers. Research additional or alternative resources for non‑covered services to prevent payment denials and provide a contact list for community resources, special programs, drugs, and financial support. Perform other duties as requested or assigned. Qualifications High school diploma or equivalent; associate degree in healthcare preferred. Minimum two (2) years of experience in medical insurance verification, authorization, or related work in a healthcare or insurance environment. Physical Demands The physical demands described here are representative of those that must be met to successfully perform the essential functions 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 and may require minimal travel by automobile to office sites. Benefits Compass Oncology offers a comprehensive benefits program for employees working 20 hours or greater including: 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! EEO Statement 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. #J-18808-Ljbffr The US Oncology Network