What are the responsibilities and job description for the Prior-Authorization / Health Insurance Verification Specialist position at Open MRI of Macon?
At Open MRI of Macon, every patient receives the highest quality service, because we care! We treat our patients like they are one of the family with prompt and friendly service in a warm and relaxing environment. We strive to provide our physicians and patients with fast accurate results, will exceed their expectations.
Open MRI of Macon has been the region's #1 choice for patients and physicians requesting an MRI. We are proud to serve Macon's healthcare community. Join a winning team, Open MRI of Macon, and start making a difference every day.
We are seeking a full-time Prior-Authorization / Health Insurance Verification Specialist to join Open MRI of Macon.
- Full-time Prior-Authorization / Health Insurance Verification Specialist is responsible for verifying patient eligibility, coordinating benefits & estimating patient responsibility. The authorization Coordinator must apply and interpret insurance policies and procedures and are responsible for obtaining required authorization prior to a patient receiving our MRI services.
1 years of experience in this high paced environment is a MUST.
- Reviews and processes patient orders received from referring physicians and verify benefits from all forms of insurance for upcoming patient appointments.
- Specialize in insurance benefits and pre-certification.
- Acts as an on-site patient liaison between referring physicians, insurance, and patients.
- Gather the required demographic and clinical information for insurance pre-certification.
- Request and arrange Peer to Peer review when required.
- Work with referring physicians and referral coordinators and build long-lasting and cohesive relationships.
- Confirms and enters all information regarding patient status into patient notes.
- Requires knowledge of coding to ensure that accurate insurance authorization information is aligned with the billing of services.
Skills:
- Ability to process a high volume of requests in a timely manner.
- Able to prioritize workload and meet deadlines.
- Ability to communicate effectively, both written and orally with others.
- Ability to work independently and to do research if additional information is needed.
- Requires an exemplary attendance record and the ability to meet change with positive behavior.
- Adjust to shifting priorities, stay organized in a changing environment, and stay focused during stressful or difficult situations.
Education & Training Requirements:
- High school diploma or equivalent required.
Work Experience Requirements:
- 1 years of acquiring Prior-Authorization or related experience required.
Benefits:
- Immediately eligible for weekly bonuses.
- 2-weeks paid vacation.
- 1 week paid time off (Sick Leave).
- Full benefits package available.
Job Type: Full-time
Pay: $17.00 - $19.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- Insurance verification: 1 year (Required)
Work Location: In person
Salary : $17 - $19
