Prior Authorizations Coordinator - Imaging
About The Position
Optima Medical is an Arizona-based medical group with 30 locations and over 130 medical providers, serving more than 200,000 patients statewide. Their mission is to enhance the quality of life in Arizona by promoting personalized healthcare focused on preventing leading causes of death, offering a wide range of services including cardiovascular health, behavioral health, allergy testing, in-house lab testing, imaging, and chronic disease management. The company is seeking a Prior Authorization Coordinator to join their Imaging Department. This role is crucial for ensuring timely and accurate approvals for diagnostic imaging services across their network of clinics.
Requirements
- Minimum of 1 year experience working with imaging-related prior authorizations required.
- Strong knowledge of medical insurance carriers and imaging guidelines (commercial, Medicaid, and Medicare).
- Familiarity with CPT and ICD-10 codes specific to imaging procedures.
- Excellent communication and organizational skills.
- Ability to work independently and within a collaborative team environment.
- Detail-oriented with strong follow-through and time management abilities.
Nice To Haves
- Previous experience in a primary care or specialty clinic is highly preferred.
- Experience with eClinicalWorks (eCW) or a similar EMR system is a plus.
Responsibilities
- Request, prepare, and submit all necessary documentation to obtain prior authorizations for imaging services such as CT, MRI, and Ultrasound.
- Ensure insurance carrier requirements are met to reduce denials and delays in imaging services.
- Prioritize authorization requests according to urgency and appointment timelines.
- Follow up with insurance companies to track the status of pending authorizations.
- Submit appeals for denied imaging authorizations with appropriate clinical justification.
- Communicate authorization updates to clinic teams and patients in a timely and professional manner.
- Verify accuracy of CPT and ICD-10 coding in patient charts relevant to imaging studies.
- Document all activities in the electronic medical record (EMR) system in real-time.
Benefits
- Substantial Growth Opportunities
- Leadership and Mentoring
- Resources to Further your Career
- Fun Work Environment (Events, Team Bonding's, Holiday Parties)
- Benefits (Medical/Vision/401k/Paid Holidays)
- Supportive and Positive Work Environment
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
101-250 employees
