What are the responsibilities and job description for the Prior MRI Authorization Specialist position at Orthopaedic Specialty Group?
JOB SUMMARY: Responsible to obtain Prior Authorizations for MRI. Liaison for Patients, Clinical staff, Insurance carriers to facilitate authorizations for patient MRI procedures. EDUCATIONAL REQUIREMENTS:High school diploma requiredCertified Professional Coding designation helpfulMedical terminologyQUALIFICATIONS AND EXPERIENCE:Minimum 1-year experience working in a physician group practiceKnowledgeable of Anatomy & Physiology, and medical terminologyCurrent working knowledge in CPT and ICD-10 codesKnowledge of Medicare/Medicaid, Workers Compensation and Commercial Insurance carrier clinical policies and reimbursement guidelinesAbility to perform multiple tasks simultaneouslyStrong written and verbal communication skills Neat, professional appearanceResponsibilities include, but are not limited to, the following:Verify medical necessity guidelines for each carrier, based on Provider notes and CPT/ICD-10 codes for MRI procedures.Complete Prior Authorization process for MRI procedures in a timely manner.Document authorization and all pertinent information in the patient chart. Other:Maintain patient confidentiality; Comply with HIPAA and compliance guidelines established by the practice. Maintain detailed knowledge of practice management, and other computer software, as it relates to job functions.Attend regular staff meetings and continuing education sessions, as requested.Typical Physical Demands:Work may require sitting for long periods of time, and also stooping, bending and stretching for files and supplies. Employee will occasionally be asked to lift files or paper weighing up to 30 pounds. Position requires manual dexterity sufficient to operate a keyboard, operate a computer, telephone, copier, and such other office equipment as necessary. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. Position also requires viewing computer screens and typing for long periods of time.OSG offers a pleasant professional work environment, competitive wages, and comprehensive benefits, including generous paid time off.Orthopaedic Specialty Group, P.C., is an Equal Opportunity Employer
Salary : $22 - $26