What are the responsibilities and job description for the Diagnostics Coordinator/Prior Authorization Specialist position at Excelsia AMM?
Excelsia Injury Care provides management services to a network of healthcare companies, supporting them in delivering comprehensive rehabilitation, diagnostic, surgical, and pain management services for individuals affected by post-traumatic neuro-musculoskeletal injuries. With 95 locations across Idaho, Illinois, Maryland, Missouri, Nevada, New Jersey, Pennsylvania, Utah, and Virginia, we ensure accessible, high-quality care tailored to each patient’s unique needs. Our providers are leaders in personal injury and workers’ compensation care, with a proven track record of helping patients recover and reach their maximum recovery potential.
Our mission is to restore quality of life through patient-centric care, supporting those injured in motor vehicle or work-related accidents. We take an interdisciplinary approach, ensuring patients receive coordinated care from evaluation through treatment, with the goal of achieving optimal recovery outcomes.
Founded on the values of respect and trustworthiness, we are committed to delivering services that adhere to the highest legal, regulatory, and ethical standards. As responsible corporate citizens, we integrate environmental, social, and governance (ESG) considerations into our business practices, ensuring that we positively impact the healthcare companies we serve, our employees, and the communities we reach.
Job Summary
The Diagnostic Coordinator is responsible for timely data entry, prior authorizations, and follow up of all diagnostic imaging ordered (PA, DE, NJ). They handle internal & external correspondence to help obtain correct billing information for studies to be completed and ensure reports are received.
- Effective communication between office, patient, attorney & MRI facility
- Documenting studies ordered, then following up to confirm test was done & report received
- Navigating EHR for claim/ health insurance info, requesting letter of protection / claim info when needed
- Prior authorizations through commercial health insurances
- Reaching out to MRI facilities directly to confirm if a patient showed to an appt, is scheduled, or for official reports to be sent
- Periodically reviewing yearly spreadsheet for outstanding scripts & determine reason for incompletion
- Assist Intake Team, Patient Care Team, and Medical Procedure Scheduling Team as needed
- Other duties as assigned.
Additional Skills/Competencies
- Prior authorization experience required.
- Excellent verbal and written communications.
- Strong organization and computer literacy skills
- Ability to effectively communicate and train all levels of employees.
Physical/Mental Requirements
Sitting, standing, walking, reaching above shoulder length, working with body bent over at waist, working in kneeling position, climbing stairs, climbing ladders, working with arms extended at shoulder length, lifting maximum of 20 lbs.
Why work for Excelsia Injury Care? We offer a competitive salary, a great and stable work environment as well as amazing benefit package! Offered Benefits include:
- Medical, Dental and Vision plans through CareFirst with PPO And HSA options available the first of the month after your hire date.
- Rich leave benefits including PTO that is accrued starting on your first day of work, 8 company-recognized paid holidays plus a floating holiday, and 5 days of sick leave each calendar year.
- Employee Assistance Program, Earned Wage Access, and Employee Assistance Fund.
- Discounts on shopping and travel perks through WorkingAdvantage.
- 401(k) retirement plan with employer match.
- Paid training opportunities and Education Assistance Program.
- Employee Referral Bonus Program
Diversity Statement
Excelsia Injury Care is an equal opportunity employer. We commit to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religion, creed, gender, pregnancy or related medical conditions, age, national origin or ancestry, physical or mental disability, genetic predisposition, marital, civil union or partnership status, sexual orientation, gender identity, or any other consideration protected by federal, state or local laws.