Insurance

Description

• Timely verification of insurance eligibility
• Gathers necessary information for complete pre-registration and authorization of procedures.
• Assists in the maintenance of current demographics in all registration applications updating information as necessary
• Evaluates incoming orders and determines appropriateness of prior authorization
• Acquires retro-authorizations as needed.
• Addresses guest inquiries related to coverage and authorization and/or directs to appropriate party.
• Answers billing company inquiries related to guests and procedures and/or directs to appropriate party.
• Works with scheduling and front desk staff to complete all tasks and responsibilities effectively and efficiently.
• Facilitates positive relations with customers during authorization process.
• Provides training for other staff members regarding prior authorization processes and practices.
• Works closely with all clinical areas to provide feedback on authorization needs and status.
• Demonstrates proficient use of communication equipment and computer technology
• Communicates in a positive manner with physician offices, patients and billing company with respect to insurance information, clinical notes and demographic information.
• Answers telephone and responds to all requests in a timely manner.
• Practices accurate and timely completion of scheduled and unscheduled work to maximize productivity.
• Adheres to radiation safety guidelines under the direction of the technologists and/or radiologists.
• Provide for patient care; comfort, safety and patient confidentiality.
• Ability to manage high patient volumes.

Requirements

Education & Training - High School Diploma or Equivalent

Experience – 2 years Medical Office Environment

License / Certification - N/A