Summary: Confirm insurance eligibility for all scheduled exams and obtain pre-authorization for services as applicable. Answer all patient, referring provider, and staff questions, as they relate to insurance pre-authorization and eligibility.

Duties and responsibilities:

Review eligibility and authorizations work lists throughout the day; prioritize as needed. Provide backup to fellow team members as
necessary.

When prior authorization is required:

• Ensure pre-authorization is in place prior to exam; obtain auth # and record all correspondence.
• To perform the preceding bullet, start and complete prior authorization via direct contact with third party Radiology Benefit Managers or payers, to include contacting referring offices to request missing paperwork, chart notes and/or other clinical information as needed. Where not possible due to payer or referring provider office policies, coordinate with referring provider offices to ensure that they complete the necessary processes to result in prior authorization.
• Contact referring doctor’s office if reauthorization is required due to protocol changes or new insurance information; close contact with departments (modalities) required.
• Where patients choose to obtain care prior to completion of prior authorization, ensure that patients have completed the necessary paperwork and that the modality site has been informed via detailed system notes.

Provide onsite training to referring offices as directed by management.

Verify insurance eligibility/benefits for all scheduled exams.

Liaison with other departments as it relates to pre-authorization and eligibility.

Job requires data entry and a task-oriented workflow

Performs other duties as assigned

Qualifications and Requirements:

• Must be self-directed and organized.
• Must be able to work with a high attention to detail.
• Must have strong verbal and written communication skills.
• Must be able to work efficiently in high volume, fast paced environment.
• Must be able to maintain a high degree of confidentiality.
• Must have excellent communication and problem solving skills.
• Must have strong computer skills.
• Must enjoy working with the public and providing exceptional customer service.
• One year of insurance verification experience preferred.

Pay: Starting pay $18.60 - $21.45 DOE

Benefits:

• 401(k) Retirement Plan with employer profit sharing contribution
• Paid Time Off Plan for vacations, sick leave and holidays
• Health Insurance
• Dental and Vision Reimbursement Plan
• Health Savings Account
• Flexible Spending Accounts, Health and Dependent Care
• Employee Assistance Program
• Voluntary Life Insurance and Short Term Disability Insurance

If you are interested in applying for this position, please upload your cover letter and resume.