What are the responsibilities and job description for the Insurance Authorization Specialist - Temp position at FlexStaff?
Insurance Authorization Specialist
Port Jefferson Station, NY
Schedule: Monday – Friday, 8am to 4pm
Temp
FlexStaff is seeking a full-time Insurance Authorization Specialist for our client, a neurology practice in Suffolk County, NY.
This position is responsible for managing the insurance authorization process for medical procedures, specifically MRI services.
Responsibilities:
- Review and obtain insurance authorizations for MRI procedures
- Verify patient eligibility and coverage details with insurance providers
- Communicate effectively with insurance companies to resolve any authorization issues or discrepancies that arise.
- Regularly update clinical staff on the status of pre-authorizations and document approvals or denials in the EMR system.
- Maintain accurate records
- Stay informed of current insurance policies and guidelines to ensure compliance
- Schedule peer-to-peer (P2P) reviews with providers to obtain necessary approvals.
- Coordinate the submission of appeals for denied authorizations and provide necessary documentation as required.
- Update the team on new clinical guidelines and changes to authorization processes.
- Train new team members on authorization processes and procedures.
- Assist with front desk duties and patient intake as needed.
- Perform other duties as assigned
Requirements:
- Knowledge of CPT and ICD-10 coding; familiarity with ICD-9 is a plus.
- Minimum of 2 years of experience obtaining MRI authorizations
- Strong understanding of medical terminology.
- Excellent communication skills, both written and verbal
- Proficiency in electronic medical record (EMR) systems and basic computer skills.
- Familiarity with insurance policies, guidelines, and pre-authorization requirements.
- Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.
- Strong attention to detail and organizational skills.
Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
