- 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
- High School Diploma/GED
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Radiology Authorization Specialist - Redding, United States - Common Spirit
Description
OverviewDignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California.
Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada.
Today Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve.
As Dignity Health Medical Foundation continues to grow and establish new premier care centers we provide increasing support and investment in the latest technologies finest physicians and state-of-the-art medical facilities.
We strive to create purposeful work settings where staff can provide great care while advancing in knowledge and experience through challenging work assignments and stimulating relationships.
Our staff is well-trained and highly skilled qualities that are vital to maintaining excellence in care and service.Dignity Health Medical Group - North State a service of Dignity Health Medical Foundation is a multi-specialty clinic with seven locations in Redding and Red Bluff.
Along with our local affiliated Dignity Health hospitals (Mercy Medical Center - Mt. Shasta Mercy Medical Center - Redding and St. Elizabeth Community Hospital) we offer an integrated care delivery system that provides high quality compassionate care in family medicine internal medicine OB/GYN cardiology and interventional cardiology neurology and neuro-interventional general surgery endovascular surgery and orthopedic surgery including general total joints and spine.Responsibilities
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.
QualificationsMinimum Qualifications:
