Verification Specialist

RADIOLOGY LTD LLC•Tucson, AZ

1d•Onsite

About The Position

Radiology Ltd. is seeking a full time Verification Specialist to join our team. Hours are Monday- Friday 8 AM - 5 PM. This position is based at our Wilmot office on the east side of Tucson. Training is not remote. A Verification Specialist is responsible for verifying insurance eligibility, obtaining authorizations, and providing patient financial responsibility based on scheduled radiology exams. We are seeking individuals that are highly dependable, with a strong attention to detail. Thrive in a fast-paced environment while multi-tasking. Consistently provide error free work based on defined insurance authorization regulations and standards.

Requirements

A high school diploma or GED is required.
Must be able to pass a general skills test.
General knowledge of ICD-10 and CPT coding.

Nice To Haves

Prior authorization experience is helpful but not required.
Medical terminology helpful but not required.

Responsibilities

Review patient insurance coverage and eligibility; correcting and updating in our system when necessary.
Validate and obtain referrals, pre-certification and/or prior authorizations via fax, online, or telephone for scheduled appointments.
Communicate directly with patients, providers and/or their clinical staff.
Document prior authorization information into the patient EMR to ensure accurate and timely claims filing.
Comprehend and determine insurance deductible, co-insurance, co-payments, and out-of-pocket costs to provide patients their financial responsibilities prior to arrival.
Assist administrative front desk with day-to-day operations, when necessary.
Complete any additional job duties as assigned.