Prior Authorization Specialist , Diagnostic Imaging
About The Position
Performs with minimum direction and considerable latitude for independent judgement, obtains prior authorizations for both standard and complex requests. Provides multiple & complex details to insurance carrier by anticipating their questions when reviewing & retrieving relevant info from the electronic medical record. Responsible for planning, execution, appeals and efficient follow through on all aspects of the process which as direct, multifaceted impact (quality, financial, patient satisfaction, etc.) on patient scheduling, treatment, care and follow up. May train and coordinate activities of peers or support staff.
Requirements
- Associate’s degree in Medical, Secretarial or related field & a minimum of 3 years of relevant exp.; or an equivalent combination of education & experience.
- Demonstrated customer relations skills.
Nice To Haves
- Medical Terminology
- experiences with surgical/appointment scheduling software (such as Flowcast)
- electronic medical records
Responsibilities
- Obtains prior authorizations for both standard and complex requests.
- Provides multiple & complex details to insurance carrier by anticipating their questions when reviewing & retrieving relevant info from the electronic medical record.
- Responsible for planning, execution, appeals and efficient follow through on all aspects of the process which as direct, multifaceted impact (quality, financial, patient satisfaction, etc.) on patient scheduling, treatment, care and follow up.
- May train and coordinate activities of peers or support staff.
Benefits
- Health, dental, vision insurance
- Tuition reimbursement up to $6000/year
- Contribution and match on Retirement Plan
- Four weeks paid time off
- Access to Success coaches
- Free parking
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
