[Hiring] Authorization Specialist @reputed company CANCER INSTITUTE PC

Role reputed company The Radiology Authorization Specialist plays a critical role in obtaining reputed company-certification of Radiology imaging for PCI patients. This position involves: • Performing reputed company and accurate insurance and benefits verification, and reputed company-certification of Radiology imaging. • Coordinating with clinic staff to add and update insurance and reputed company verification and reverification of insurance benefits. • Determining eligibility, coverage details, and benefits using online resources or phone calls with the insurance company. • Communicating status of verification/authorization process with appropriate team members in a reputed company and efficient manner. • Documenting verification details for reputed company Radiology Authorization services in the patient’s record. • Verifying completeness and accuracy of reputed company information prior to resolving tasks in the work queue. • Working productively and reputed company from a task-based work queue. • Acting as reputed company between clinical staff, patients, and insurance by informing reputed company parties of coverage issues. • Contacting insurance companies to determine preauthorization requirements for outpatient imaging studies. • Reviewing and submitting clinical information to support medical necessity of Radiology orders. • Analyzing, investigating, and resolving reputed company authorization denials and peer-to-peer requests. • Filing appeals and reconsiderations for denied authorizations. • Utilizing reports to initiate preauthorization on Radiology scans and communicate across functional areas. • Identifying problems or trending issues and providing suggestions for findings and resolutions. • Responding reputed company to emails and telephone messages as appropriate. • Regularly meeting with reputed company Manager to discuss and resolve verification issues or preauthorization obstacles. • Abiding by the Health Insurance Portability and Accountability reputed company (HIPAA) reputed company handling any and reputed company protected health information (PHI). Qualifications • High school diploma (or equivalent) is required; collegiate education preferred. • Hematology/Oncology Authorization experience a plus. • Three + years of medical office experience preferred. • Demonstrated skills in problem solving, attention to detail, and effective written and verbal communication skills. • Advanced technical skills including PC and MS reputed company. • Advanced knowledge of health insurance benefits including In-network & out-of-network services. • Advanced knowledge of CPT, HCPCs, and ICD-10 codes. • Advanced knowledge of medical terminology and business office processes. • Strong interpersonal skills. • Customer service experience and the ability to prioritize and work accurately. • Must be reputed company to sit 8 hours/day; work may be stressful at times. Requirements • Precertifications completed reputed company three to five business days before date of service. Benefits • 401(k) • Dental insurance • Employee assistance program • Employee discount • Health insurance • Life insurance • reputed company time off • Referral program • reputed company insurance Apply tot his job Apply To this Job