Authorization Coordinator

PRACTICE OVERVIEW
Radiology Partners is the largest and fastest growing on-site radiology practice in the US. We are an innovative practice focused on transforming how radiologists provide consistently exceptional services to hospitals, imaging centers, referring physicians and patients. With our state-of-the art clinical technology, specialized expertise, access to capital, and retention of top physician talent, Radiology Partners reliably exceeds the expectations of our clients, patients, and partners. We serve our clients with an operational focus, and, above all, a commitment to quality patient care. Our mission is To Transform Radiology.

POSITION SUMMARY
Radiology Partners is seeking a Authorization Coordinator who is responsible for conducting insurance authorizations from carriers to assure proper payment is received for exams. Successful candidates will be comfortable with medical terminology and communicating effectively with patients, insurance carriers and physicians.

POSITION DUTIES AND RESPONSIBILITIES

  • Obtains documents, verifies and conducts follow-up on insurance authorizations and insurance eligibility as required for scheduled exams. Consults with supervisor on complex and/or difficult situations.
  • Enters data accurately into system, applying CPT codes to match authorization for exam. Consults with Modality Protocoller, Clinical Managers, or technologist, as needed to ensure accuracy and smooth workflow. Maintains CPT code authorization files based on managed care contracts. Performs clerical duties as needed.
  • Contacts insurance companies to obtain prior authorization and predetermination for exams ordered by Jefferson Radiology providers. Checks insurance eligibility to ensure that the information provided matches the insurance carrier’s database information.
  • Prepares written communication to notify appropriate staff of authorization updates and/or changes for insurance carriers. In support of marketing efforts to enhance relationships with referring physician offices, interacts with external customers to inform and educate regarding authorization procedures. Works collegially and professionally with all internal and external staff members and physicians.
  • In cooperation with the Accounts Receivables unit, works insurance denials by researching, sending appeal letters and making appropriate contact with insurance companies or billing staff. Performs quality assurance checks of scheduled and recently performed exams. Provides recommendations for policy and procedure changes to management to prevent or limit denials.
  • Performs other related duties as assigned.
  • Participates as a member of the Jefferson Radiology Team. Consistently demonstrates and promotes Jefferson Radiology Values.
  • Ensures a professional attitude and appearance at all times. Consistently demonstrates flexibility and good judgment. Consults with co-workers and supervisor as necessary.
  • Adheres to all Jefferson Radiology policies and procedures, including Compliance, HIPAA, OSHA, and licensing and accreditation guidelines. Reviews policy and procedure manuals on an annual basis.

DESIRED PROFESSIONAL SKILLS AND EXPERIENCE

  • High school diploma or equivalent preferred
  • Prior medical insurance experience, preferred
  • Must demonstrate strong knowledge of HMO insurance carrier products, including authorization and referral requirements, as well as the ability to communicate clearly and tactfully, verbally and in writing
  • Must possess good computer skills
  • Strong organizational skills
  • Attention to detail

PHYSICAL REQUIREMENTS: May occasionally be required to carry up to 10 lbs. Sitting will be required 90% of the time.

Radiology Partners is an equal opportunity employer. We believe in creating and celebrating a culture of belonging and are committed to creating an inclusive environment for all teammates.

CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.

Job Type: Full-time

Benefits:

  • 401(k)
  • Dental insurance
  • Disability insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Monday to Friday

Work Location:

  • One location

Work Remotely:

  • No

Work Location: One location

Posted
11/14/2021
Salary Range
$31,000.00 - 44,000.00
per Year
Salary range estimated by
Location
East Hartford, CT 06108, US
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