Professional with experience in healthcare, prepared for this role. Strong ability to adapt to changing needs and collaborate effectively with teams. Skilled in patient care, medical terminology, and basic clinical procedure. Seeks opportunities to improve processes and workflows for team benefit. Conscientious, hardworking, and excels at multitasking in fast-paced environments.
• Review comprehensive medical records for oncology patients to ensure accuracy, completeness, and clinical relevance for insurance case review.
• Evaluate patient eligibility and documentation for immune-oncology (IO) therapies and treatment protocols.
• Prepare detailed case packets for insurance companies, ensuring compliance with payer requirements and HIPAA regulations.
• Collaborate with healthcare providers, oncology teams, and insurance reviewers to verify supporting medical evidence and streamline approval processes.
• Maintain meticulous documentation and uphold confidentiality standards while contributing to improved efficiency and timely patient access to cancer treatments.