What are the responsibilities and job description for the Full Time Precertification Specialist position at ImageCare Radiology?
Join Our Team at ImageCare Radiology!
At ImageCare Radiology, we offer a wide range of diagnostic imaging services across 20 locations in Northern and Central New Jersey. Our outpatient centers provide affordable, high-quality care in a patient-focused environment. Join our growing team and help us deliver exceptional medical imaging while advancing your career in a supportive, dynamic setting. Be part of a team that values your skills and contributions!
Schedule:
Monday-Friday 9:30am-6:00pm
We are seeking a Precertification Specialist for an immediate full-time position at our Hackettstown location.
The candidate must be experienced with all aspects of insurance verification and the authorization process for medical testing. The candidate must also be familiar with all forms of commercial insurance plans and third-party websites like Evicore and Navinet. Employees in the Precertification department must be motivated, organized, and team players with a positive attitude.
Duties include but are not limited to:
- Request, track and obtain prior authorizations from insurance carriers/third party authorization companies within a reasonable time frame.
- Contact insurance carriers to verify the patient’s insurance benefits and requirements specific to the requested radiology procedure.
- Follow up with insurance carriers/third-party authorization companies prior to services being performed to secure prior authorization.
- Work closely with referring physicians to obtain necessary data needed to submit for prior authorization.
- Troubleshoot and manage pending and denied cases.
- Maintains a level of productivity suitable for the department.
- Communicate any insurance changes or trends back to management.
MINIMUM QUALIFICATIONS REQUIRED
Experience and Education:
- High School Diploma
- Prior experience in a medical setting (Preferred)
- Pre-Certification: 1 year (Preferred)
REQUIRED SKILLS:
- Excellent written and verbal communication skills
- Strong technical skills
- Medically knowledgeable and willing to learn
- Positive and friendly disposition
- Organized and patient oriented
- Handles patients with care and compassion
- Strong follow-up skills
- Works well in a team environment
- The ability to work well under pressure
BENEFITS:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
ABILITY TO RELOCATE/COMMUTE:
- Hackettstown, NJ 07840: Reliably commute or planning to relocate before starting work (Required)
Flu Vaccination & Proof of MMR Requirement: It is ImageCare's Company Policy that all personnel must be vaccinated with the MMR and the yearly flu shot.
ImageCare Centers provided the following inclusive hiring information: We are an equal opportunity employer and consider all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.
Salary : $18
