Pre-authorization Specialist - Imaging

Revere Health • Provo, UT

1d • Remote

About The Position

At Revere Health, we value the health of our patients above all else. As the largest independent multi-specialty physician group in Utah, our healthcare system gives patients the best in communication, quality, coordination and innovation. Founded in 1969 in Provo, Utah, Revere Health has grown to include 29 medical specialties in over 100 locations throughout Utah, Arizona and Nevada. As the first Accountable Care Organization (ACO) accredited by Medicare in Utah, and the only Next Generation ACO in the state, Revere Health offers a unique, patient-oriented approach to healthcare. We strive to keep medical costs at a minimum while providing the utmost in quality healthcare. Revere Health: Your Health Above All Else. Position Summary: We are seeking a friendly, reliable, and detail-oriented individual to join our pre-authorization team. As a pre-authorization specialist, you will play a vital role in ensuring our patients receive timely care while making the most of their insurance benefits. This position is ideal for someone who is able to work as part of a team, thrives in a busy environment, and takes pride in providing excellent customer service. Responsibilities include verifying insurance eligibility, requesting authorizations for imaging services when required, communicating with patients and imaging staff, accurately entering and maintaining patient information, and learning and navigating multiple computer systems. Essential Job Functions: This position is responsible to contact the insurance carriers to determine the most efficient way to verify eligibility, pre-authorization requirements, covered services and determine the patient’s financial responsibilities. This information is documented online and coordinated with Revere Health staff, referring physician and/or patient.

Requirements

• Must have excellent customer service skills and be able to communicate professionally both in written and verbal form.
• 2+ years’ experience in medical office front desk and billing practices preferred.
• Knowledge of ICD-10 and CPT codes, familiarity with third party private payor practices, and pre-certification and authorization requirements.
• Must have general computer skills.
• Individual must have attention to detail, strong organizational skills and be able to follow through on all tasks.

Nice To Haves

• Experience with electronic medical record (EMR) systems is a plus.

Responsibilities

• verifying insurance eligibility
• requesting authorizations for imaging services when required
• communicating with patients and imaging staff
• accurately entering and maintaining patient information
• learning and navigating multiple computer systems
• contact the insurance carriers to determine the most efficient way to verify eligibility, pre-authorization requirements, covered services and determine the patient’s financial responsibilities
• documenting information online and coordinating with Revere Health staff, referring physician and/or patient

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 501-1,000 employees