Prior Authorizations Coordinator Imaging
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Job Location:
Glendale, WI - USA
Monthly Salary:
Not Disclosed
Posted on:
5 days ago
Vacancies:
1 Vacancy
Job Summary
About Optima Medical:
Optima Medical is an Arizona-based medical group consisting of30locations and over130medical providers who care for more than200000patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities Live Better Live Longer through personalized healthcare with a focus on preventing the nations top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services behavioral health allergy testing and immunotherapy in-house lab testing imaging chronic disease management and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.
Optima Medical is an Arizona-based medical group consisting of30locations and over130medical providers who care for more than200000patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities Live Better Live Longer through personalized healthcare with a focus on preventing the nations top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services behavioral health allergy testing and immunotherapy in-house lab testing imaging chronic disease management and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.
We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard. We are currently seeking aPriorAuthorizationCoordinatorto support our Imaging Department and help ensure timely accurate approvals for diagnostic services across our network of clinics.
Responsibilities:
- Request prepare and submit all necessary documentation to obtainpriorauthorizations for imaging services such as CT MRI and Ultrasound.
- Ensure insurance carrier requirements are met to reduce denials and delays in imaging services.
- Prioritizeauthorizationrequests according to urgency and appointment timelines.
- Follow up with insurance companies to track the status of pendingauthorizations.
- Submit appeals for denied imagingauthorizations with appropriate clinical justification.
- Communicateauthorizationupdates to clinic teams and patients in a timely and professional manner.
- Verify accuracy of CPT and ICD-10 coding in patient charts relevant to imaging studies.
- Document all activities in the electronic medical record (EMR) system in real-time.
Qualifications:
- Minimum of 1 year experience working with imaging-relatedpriorauthorizations required.
- Strong knowledge of medical insurance carriers and imaging guidelines (commercial Medicaid and Medicare).
- Familiarity with CPT and ICD-10 codes specific to imaging procedures.
- Previous experience in a primary care or specialty clinic is highly preferred.
- Experience with eClinicalWorks (eCW) or a similar EMR system is a plus.
- Excellent communication and organizational skills.
- Ability to work independently and within a collaborative team environment.
- Detail-oriented with strong follow-through and time management abilities.
Why Join Our Team
- Substantial Growth Opportunities
- Leadership and Mentoring
- Resources to Further your Career
- Fun Work Environment (Events Team Bondings Holiday Parties)
- Benefits (Medical/Vision/401k/Paid Holidays)
- Supportive and Positive Work Environment
Required Experience:
IC
About Company
Experience quality, personalized healthcare in Arizona with same-day appointments, family care, and comprehensive services at Optima Medical.
