Radiology Authorization Specialist
About The Position
The Pre-Authorization Radiology Specialist is generally assigned to multiple work areas within the Authorization Department as outlined in departmental expectations. With the primary assignment being to verify eligibility, obtain authorization for radiology exams/services by working with ordering physician's office staff, the applicable Medical Insurance Carriers, and the radiology clinics. In general, the Authorization Specialist is responsible to ensure proper Authorizations are obtained to corresponding CPT codes and ICD-10 codes, to ensure prompt payment from insurance carriers.
Requirements
- High School Diploma/GED
- Proficiency in health insurance eligibility and authorization requirements
- Knowledge of government program regulations, Medi-Cal, Medicare, MIA, C.C.S., and other third party payers
- Ability to problem solve; ability to analyze data and recommend changes
- Must have strong customer service skills
- Ability to work collaboratively with a culturally diverse staff and patient/family population
- Ability to work independently with minimum supervision
- Must have basic PC skills
- Medical Terminology - basic knowledge
- Excellent Oral/Written Communication - Articulate and concise oral communication
- Ability to write clearly and concisely
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
