What are the responsibilities and job description for the MRI Authorization Clerk-FlexStaff (TEMP) position at FlexStaff?
FlexStaff is hiring an MRI Authorization Clerk for one of our clients.
The MRI Authorization Clerk is responsible for managing the insurance authorization process for medical procedures, specifically MRI services. This role involves verifying patient eligibility, obtaining necessary authorizations, and maintaining accurate records to ensure compliance with insurance policies. The Authorization Clerk will collaborate closely with clinical staff and insurance providers to address authorization issues and ensure a seamless experience for patients.
Key Roles & Responsibilities
- Review and obtain insurance authorizations for MRI procedures, ensuring compliance with payer requirements.
- Verify patient eligibility and coverage details with insurance providers to facilitate the authorization process.
- 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 of authorizations and follow up on pending cases to ensure timely processing.
- Stay informed of current insurance policies and guidelines to ensure compliance and optimize authorization workflows.
- 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 to support the operational needs of the department.
Requirements
- Knowledge of CPT and ICD-10 coding; familiarity with ICD-9 is a plus.
- Minimum of 2 years of prior experience obtaining MRI authorizations or in a similar role.
- Strong understanding of medical terminology.
- Excellent communication skills, both written and verbal, to effectively liaise with insurance providers and clinical staff.
- 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).
