Authorization Specialist - (FDC)

Medical Associates of NWA•Fayetteville, AR

About The Position

The Authorization Specialist secures all required Prior Authorizations for Imaging procedures such as MRI, CT Scan & Ultrasound by working with the appropriate Insurance provider or intermediary. The Authorization Specialist provides pertinent information requested from insurance companies and documents authorization details obtained from insurance companies into appropriate database. About Fayetteville Diagnostic Clinic Fayetteville Diagnostic Clinic is a physician-owned practice who encourages teamwork and collaboration, increasing efficiency in care, and ensuring patients receive a positive health care experience. To provide a convenient patient health experience, we offer internal medicine, medical specialists, and diagnostic services in one central location. About MANA Medical Associates of Northwest Arkansas (MANA) is an independent, physician-owned healthcare organization offering family medicine, pediatrics, women’s health, and a wide range of specialty and advanced services. As a physician-owned practice, MANA prioritizes compassionate, high-quality patient care while maintaining a personal, patient-centered clinic environment. Our team works together to manage healthcare efficiently, support excellent patient outcomes, and provide comprehensive care. Our mission is to improve the quality of life by providing compassionate, comprehensive, quality healthcare.

Requirements

High school diploma or GED
18 months of recent prior authorization experience, verifying with insurance on-line and over the phone and experience with nursing staff and physicians when needed.

Responsibilities

Manage the authorization phase of Radiology patient encounter, verify with insurance via phone or online if pre-authorization is required for Radiology diagnostic testing. This duty is performed daily, about 50% of the time.
Able to use information provided in EMR system to complete the clinical information requirements for authorization. This duty is performed daily, about 10% of the time.
Works closely with referring physician office when an authorization request requires more detailed clinical information to support the required procedure. This duty is performed daily, about 10% of the time.
The Authorization Specialist will make requests for peer to peer reviews as necessary to obtain authorizations and approvals on testing.

Benefits

Medical Insurance
Vision Insurance
Dental Insurance
HSA or FSA options with medical insurance
Voluntary Aflac Accident and Critical Illness
Employer paid life, long-term & short-term disability benefits
401(K) match and profit sharing
Up to 21.5 paid days off (PDO, EID and Perfect Attendance benefits) & 6 days paid holidays; during your first year of employment
Corporate Discounts: MANA has partnerships with various local and nationwide retailers to provide discounts to you; Dell, ATT, Verizon, UARK Federal Credit Union, and many more!
One-On-One Training and Development: At time of hire with MANA, you will go through detailed training to ensure you are equipped with what you need for success in our clinics