Patient Accounts (Authorization team)

Dakota Radiology is seeking a new team member to join the team as we expand the clinic.

Looking for a friendly, dynamic, patient focused team member to work in our outpatient clinic helping patients get their medical imaging exams completed as soon as possible. This requires knowledge in obtaining insurance preapproval / preauthorization based on the patients' insurance information and the ordering physician's exam order. You and the team work to obtain and validate the preauthorization is in the EMR prior to the study date and all documentation is obtained to meet medical necessity.

• Documentation of patient interactions will be completed in the patient’s electronic medical record within EPIC. Providing high quality and accurate work to maintain compliance with all regulatory requirements.
• Contacting the referring providers and insurance companies for preauthorization validation and patient benefits. If preauthorization is required, ensure we have that in place prior to the time of the patient exam. Verify that orders are correct – Quality Check includes correct patient name, correct exam, correct diagnosis, and referring provider signature.
• Take incoming and outgoing calls as needed to complete daily work tasks.
• Meet or call patients needing verification of information prior to the exam.
• Provide an accurate Good Faith Estimate (GFE) to patients who are self-pay and communicate the estimate to the patient or guardian.
• Maintain flexibility in work hours and seating location to meet the company needs. Currently M-F day shift
• Take payments from patients in person or on the phone.
• Answer billing inquiries to provide the caller with answers and resolution to their concerns.

Experience or Job Knowledge:

• Computer experience with proficiency in Microsoft products
• Customer service background.
• Fluent in medical terminology.
• Previous Medical Clinic Office/ pre-authorization experience for medical imaging preferred
• Utilize online management of CPT and ICD-10 codes via CMS and other payor websites.
• Prior experience in EPIC, preferred.

Education or Certification Requirements:

• High School Diploma or equivalent