Rocky Mountain Cancer Centers Insurance Authorization Specialist in Greenwood Village, Colorado
The Mountain West Regional Business office, located in Greenwood Village,CO, supporting The US Oncology Network is looking for multiple InsuranceAuthorization Specialist to join our dedicated team! The US Oncology Networkis one of the nation's largest networks of community-based oncologyphysicians dedicated to advancing cancer care in America. The US OncologyNetwork is supported by McKesson Specialty Health, a division of McKessonCorporation focused on empowering a vibrant and sustainable community patientcare delivery system to advance the science, technology and quality of care.For more information, visit www.usoncology.com.SCOPEUnder general supervision, reviews chemotherapy and radiation regimens inaccordance with reimbursement guidelinesObtains necessary pre-certifications and exceptions to ensure no delay inreimbursement of treatmentsResearches denied services and alternative resources to pay for treatmentSupports and adheres to the US Oncology Compliance Program, to include theCode of Ethics and Business StandardsESSENTIAL DUTIES AND RESPONSIBILITIES Obtains initial and subsequent insurance authorization andpre-certification for chemotherapy services, surgeries, and imaging. Researches additional or alternative resources for non-covered services toprevent payment denials. Maintains a close working relationship with site Patient FinancialCounselor. Communicates with clinical staff, PFC, and management restrictions orunique requirements for insurance plans. Maintains a current working knowledge of authorization requirements forall payers, and of state and federal regulatory guidelines. Assists in maintaining manuals, logs and other required documentation. Demonstrates an understanding of patient confidentiality to protect thepatient and the clinic/corporation. Follows policies and procedures to contribute to the efficiency of thefront office. Covers for and assists with other front office functions as requested. Other duties as may be assigned.POSITION REQUIREMENTS High school diploma or equivalent Minimum three years of medical business office experience with insuranceprocedures and patient interaction Additional clinical background preferred Knowledge of medical terminology Excellent communication skills, written and verbal Excellent computer skills to include Microsoft Office Suite,EHR/EMR, and insurance portalsPHYSICAL DEMANDSThe physical demands described here are representative of those that must bemet by an employee to successfully perform the essential functions of thisjob. Reasonable accommodations may be made to enable individuals withdisabilities to perform the essential functions. Work may require sitting forlong periods of time; also, stooping, bending and stretching for filesand supplies. Occasionally lifting files or paper weighing up to 40 pounds.Requires manual dexterity sufficient to operate a keyboard, calculator,telephone, copier and other office equipment. Vision must be correctable to20/20 and hearing must be in the normal range for telephone contacts. It isnecessary to view and type on computer screens for prolonged periods of time.WORK ENVIRONMENTThe work environment characteristics described here are representative ofthose an employee encounters while performing the essential functions of thisjob. Reasonable accommodations may be made to enable individuals withdisabilities to perform the essential functions. Work is performed in anoffice environment. Involves frequent interaction with staff, physicians'patients and outside insurers.category: administrativeThe US Oncology Network is an Equal Opportunity Employer. All qualifiedapplicants will receive consideration for employment without regard to race,color, religion, sex, national origin, sexual orientation, genderidentity, disability or protected veteran status.