Eligibility Authorization Specialist

Job Description Summary

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The Eligibility Authorization Specialist obtains benefit verification and pre-authorization for outpatient imaging services as specified based on insurance carrier requirements for PET, MRI, CT and Nuclear Imaging (High-Tech Imaging Services). S/he reviews daily worklists and schedules and verifies all information needed to obtain authorization is in system. S/he coordinates with external vendors to expedite obtaining Eligibility, Benefit and Authorizations, as well as directly processing authorizations as needed. S/he communicates authorization results with insurance carrier, physician office, billing office and patient to ensure payment is made timely for the service provided. All other duties as assigned.

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How will you make an impact & Requirements

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Hours & Location:

Full Time: Monday-Friday 8:30am-5pm

1777 Tamiami Trail, Port Charlotte, FL

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Pre-authorizations done timely and accurately

• Coordinates effective with all parties

• Company has not lost money due to lack of pre-authorization and non-payment

• Understand carrier specific guidelines and determines which patients will require pre-authorization

Benefits:

• 3 weeks PTO & 8 paid holidays

• Medical, Dental, Vision

• Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment)

• 401(k) with match

• Employee Wellness

• Other Employee Discount programs like Tickets at Work and cell phone discounts

• Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more

Why Millennium?

Millennium Physician Group is one of the largest comprehensive primary care practices with healthcare providers throughout Florida.

At Millennium Physician Group, you will find an organization that focuses on family and building a strong network of people to care for the communities we serve. We are always searching for employees who have a strong customer service attitude, fantastic teamwork skills and a willing smile ready to share.

Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual, and help you grow in your role with Millennium Physician Group.

If you are interested in joining an organization that puts an emphasis on team work and family, then Millennium Physician Group is the right choice.