Medical Insurance/Authorization Specialist
Medical Insurance/Authorization Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Job Title: Insurance Specialist
Job Location: 1417 Lakeland Hills Blvd. Ste. 102
Division/Department: Radiology and Imaging Specialists: LVI LVI Institute VCS ASC
Reports to: Office Supervisor
Type of Shift: Full Time
Introduction:
The Insurance Specialist for LVI/VCS/ASC provides support for the clinic in the insurance verification and authorization process for procedures and will individually or as part of a part of team work to achieve assigned goals. An Insurance Specialist ensures accurate and timely insurance eligibility and coverage information for patients often interacting with insurance companies and patients to verify coverage details obtain preauthorizations and address related inquiries. Responsibilities include updating patient information documenting interactions and resolving billing issues.
Job Objectives:
Responsible for verifying and interpreting insurance eligibility utilizing thirdparty insurance verifier phone and company websites
Obtain insurance authorization to ensure precertification and referral requirements are met prior to delivery of services
Review daily clinic and LVI schedules for necessary prior authorizations and referrals for scheduled and unscheduled patients.
Obtain interpret and submit procedural and specific services authorizations to the appropriate insurance and payors.
Process incoming and outgoing referrals in eCW and MedInformatix.
Scan referral/authorization documents into eClinical Works and MedInformatix.
Enter documentation into each referral account.
Disseminate authorizations referrals and documentation for scheduling.
Schedule Peer to Peer reviews
Other related work as assigned.
Education and Experience:
4 year college degree preferred
1 2 years in either medical sales or physicians relations.
Working knowledge of radiology procedures is preferred
Skills & Qualifications:
Skills in establishing and maintaining effective working relationships with staff and patients and the ability to work independently
Excellent patient care and customer service
Ability to manage work lists and prioritize workflow
Excellent communication skills with management staff and patients
Maintain and uphold HIPAA regulations
Physical Requirements:
Ability to sit or stand for prolonged periods
Normal hand eye coordination and manual dexterity
Ability to lift up to 50 lbs.
Ability to distinguish letters and symbols
Ability to respond quickly to sounds
Clarity of vision at close distances (20 inches or less) and far distances (20ft or more)
Radiology and Imaging Specialists is an equal opportunity employer
Required Experience:
Unclear Seniority
Employment Type
Full-Time
