About The Position

Verification of insurance coverage utilization through various online modalities for clinic patients receiving diagnostic testing (i.e. CT, MRI, etc.), along with chemotherapy and radiation therapy and/or surgical procedures. The associate is responsible for obtaining prior authorization requests and/or pre-determination for these services to ensure maximum reimbursement to the organization.

Requirements

  • Familiarity with different online modalities for insurance verification.
  • Understanding of diagnostic testing, chemotherapy, radiation therapy, and surgical procedures.
  • Ability to obtain prior authorizations and pre-determinations.

Responsibilities

  • Verify insurance coverage utilization for diagnostic testing (CT, MRI, etc.), chemotherapy, radiation therapy, and surgical procedures.
  • Obtain prior authorization requests and/or pre-determination for services.
  • Ensure maximum reimbursement to the organization.
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