Insurance Authorization Specialist

Job Description

Job Description

Oregon Imaging Centers, LLC (OIC) is currently seeking an experienced, compassionate, and enthusiastic Insurance Authorization Specialist to join our team.

The Insurance Authorization Specialist is a full-time position and would be responsible for verifying insurance benefits and eligibility in addition to obtaining authorizations for patient services. Discuss financial obligations, and payment options with the patient prior to the exam.

Educate patients on the exam process, supplying directions to our different locations and ensuring a positive, effective, and efficient experience for our patients.

Qualified candidate must be able to communicate effectively and provide quality customer service to the patient, provider, insurance company, and internal staff.

The successful candidate must have strong attention to detail, time management, multi-tasking, and verbal communication skills. The ability to work independently as well as part of a team, and the ability to prioritize, exercise excellent judgment, all while maintaining a high level of confidentiality is also required.

The Insurance Authorization Specialist requires the following :

• High school diploma or the equivalent.
• Strong working knowledge with medical office procedures, medical chart note navigation, computerized reception and registration, and multi-line phone systems.
• Experience with pre-authorization of complex imaging examinations.
• Work experience should demonstrate familiarity with payers, medical terminology including ICD10, insurance authorization procedures and requirements.

Essential Functions include :

Review medical necessity for each patient activity and service, including radiological and specialty referrals for appropriateness. Determine if rescheduling appointment is necessary.

Obtain insurance authorization and pre-certification for services.

Work to prevent payment denials and delays through understanding of payment plans and contracts for patient services involving clinical.

Works as a patient advocate and functions as a liaison between the patient and payer to answer insurance related questions. Updates and disseminates all clinical supportive data to maximize reimbursement and avoid insurance delays. Research additional or alternative resources for non-covered services.

Provides clinical and financial information to patients to assist with insurance and payment coordination. Clarifies clinical policies, procedures, and medical records information to non-medical staff. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans.

Physical Abilities :

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must have the ability to tolerate long periods of sitting and / or standing, walking, climb stairs, use a keyboard with sufficient dexterity for speed required by job, read computer screen text (at times for extended periods), lift supplies weighing up to 10 lbs. (with assistance as necessary), hear and speak with individuals in person or on the telephone. Specific vision abilities required by this job include close vision, and distance vision.

Oregon Imaging Centers is an equal-opportunity employer.

Job Type : Full-time

Pay : $19.70 - $30.00 per hour

Expected hours : 40 per week

Benefits :

401(k)

401(k) matching

Dental Insurance

Disability insurance

Employee assistance program

Health insurance

Health savings account

Life insurance

Paid time off

Retirement plan

Vision insurance

Healthcare setting :

Outpatient

Medical specialties :

Radiology

Schedule :

8-hour shift

Day shift

Monday to Friday

Experience :

Customer Service : 1 year (Required)

Medical Terminology : 1 year (Preferred)

Medical Office setting : 1 year (Preferred)

Work Location : In person