Authorization Specialist 14527 - East Hartford, United States - Jefferson Radiology

Jefferson Radiology

Verified Company

East Hartford, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

PRACTICE OVERVIEW
Jefferson Radiology is a Radiology Partners practice.

Radiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation.

As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare.

Radiology is a team sport, and Radiology Partners is building a community of physicians and support teammates who embody our practice values and believe in our bold mission to transform radiology.

Our support team is a vital force within the practice, using their gifts and talents to improve the overall healthcare experience.

Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.

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POSITION DUTIES AND RESPONSIBILITIES

Obtains documents, verifies, and conducts followup on insurance authorizations and insurance eligibility as required for scheduled exams. Consults with supervisor on complex and/or difficult situations.
Maintains CPT code authorization files based on managed care contracts. Performs clerical duties as needed.
Contacts insurance companies to obtain prior authorization and predetermination for exams ordered by Jefferson Radiology providers. Checks insurance eligibility to ensure that the information provided matches the insurance carrier's database information.
Prepares written communication to notify appropriate staff of authorization updates and/or changes for insurance carriers. In support of marketing efforts to enhance relationships with referring physician offices, interacts with external customers to inform and educate regarding authorization procedures. Works collegially and professionally with all internal and external staff members and physicians.
In cooperation with the Accounts Receivables unit, works insurance denials by researching, sending appeal letters, and making appropriate contact with insurance companies or billing staff. Performs quality assurance checks of scheduled and recently performed exams. Provides recommendations for policy and procedure changes to management to prevent or limit denials.
Performs other related duties as assigned.
Participates as a member of the Jefferson Radiology Team. Consistently demonstrates and promotes Jefferson Radiology Values.
Ensures a professional attitude and appearance. Consistently demonstrates flexibility and good judgment. Consults with coworkers and supervisor, as necessary.
Adheres to all Jefferson Radiology policies and procedures, including Compliance, HIPAA, OSHA, and licensing and accreditation guidelines. Review policy and procedure manuals on an annual basis.

DESIRED PROFESSIONAL SKILLS AND EXPERIENCE

High school diploma or equivalent preferred.
Prior medical insurance experience, preferred.
Must demonstrate strong knowledge of HMO insurance carrier products, including authorization and referral requirements, as well as the ability to communicate clearly and tactfully, verbally and in writing.
Must possess good computer skills.
Strong organizational skills.
Attention to detail.

PHYSICAL REQUIREMENTS
May occasionally be required to carry up to 10 lbs. Sitting will be required 90% of the time.

Radiology Partners is an equalopportunity employer. We believe in creating and celebrating a culture of belonging and are committed to creating an inclusive environment for all teammates._
Radiology Partners participates in _
Everify_

Pay:
$ $21.01 per hour

Benefits: