Eligibility Authorization Specialist

Millennium Physician Group • Port Charlotte, FL

5d • Remote

About The Position

The Eligibility Authorization Specialist obtains benefit verification and pre-authorization for outpatient imaging services as specified based on insurance carrier requirements for PET, MRI, CT and Nuclear Imaging (High-Tech Imaging Services). S/he reviews daily worklists and schedules and verifies all information needed to obtain authorization is in system. S/he coordinates with external vendors to expedite obtaining Eligibility, Benefit and Authorizations, as well as directly processing authorizations as needed. S/he communicates authorization results with insurance carrier, physician office, billing office and patient to ensure payment is made timely for the service provided. All other duties as assigned.

Responsibilities

• Pre-authorizations done timely and accurately
• Coordinates effective with all parties
• Company has not lost money due to lack of pre-authorization and non-payment
• Understand carrier specific guidelines and determines which patients will require pre-authorization

Benefits

• 3 weeks PTO & 8 paid holidays
• Medical, Dental, Vision
• Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment)
• 401(k) with match
• Employee Wellness
• Other Employee Discount programs like Tickets at Work and cell phone discounts
• Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed