Insurance Authorization Specialists are responsible for obtaining insurance verification and pre-authorization for patients seen at the Radia outpatient centers. Possess a strong knowledge of insurance requirements. Maintains strong working relationships with Radia business office staff, Radia outpatient centers, Radia partner facilities and referring provider offices.

Responsibilities:

• Verify insurance and potential necessity for pre-authorization. Determine appropriate insured, policy, group and billing addresses of primary, secondary, and tertiary insurances. Recognize and follow MSP (managed service provider), ABN (advanced beneficiary notice), and COB (coordination of benefits) rules for each payer (when applicable) in addition to performing ICD-10 screening and pre-authorizations
• Communicates updates and changes to insurance verification and pre-authorization requirements and processes to patients, as well as key internal and external customers.
• Documents information in patient accounts and records, as needed. (resources)
• Demonstrate positive personal interaction skills when working with Radia internal and external customers.
• Identify problems and communicate to supervisor, offering solutions as appropriate.

Position Requirements:

• Knowledge of health insurance, ICD-10 and CPT coding, preferred but not required.
• Medical terminology, preferred but not required.
• Computer skills
• Ability to provide great customer service
• Ability to work as part of a team

Education/Experience:

• High school graduate or equivalent
• Previous medical office experience
• 1 year experience working as an insurance verifier, preferred.

We offer market-competitive compensation and a full range of benefits, including:

• A choice of two health plans, flexible spending and health savings accounts
• A 401(k) with a profit-sharing component
• Paid Time Off and Holiday Pay
• Life and disability insurance
• Learning opportunities through professional development programs

To protect physicians, employees, and patients of Radia from contracting COVID-19 and to help prevent the spread of COVID-19, Radia requires that all Health Care Setting Workers receive a COVID-19 vaccination, subject to the exemptions. New hires will be required to present written proof of COVID-19 vaccination or a written request for an Exemption within 30 days of hire.

About Radia

Seattle Radiology is an Imaging Center of Radia. Radia is one of the largest and most progressive radiology groups in the nation. Our team of more than 200 board-certified radiologists, with specialty training in everything from Mammography to Neuroradiology and Musculoskeletal to Interventional, provide more than 50 hospital and specialty clinic partners with on-site radiology coverage and interpretations.

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