Jobs · OTHR · Pennsylvania

Diagnostics Coordinator/Prior Authorization Specialist

Excelsia Injury Care · Glenolden, PA · 1 mo ago
OTHRFull-time

About Us

Born in 1993, Excelsia Injury Care’s mission is to restore quality of life through patient-centric care and support for those injured in motor vehicle or work-related accidents. With over 100 patient care centers across the Mid-Atlantic, Midwest, and Mountain West regions, our vision is to be the leading provider of injury care, setting the standard for excellence in every community we serve and expanding access to high-quality care nationwide.

At Excelsia, we deliver the full continuum of outpatient care within one seamless, connected system. Our diverse team of medical specialists offers a wide range of treatment services, covering medical, orthopedics, neurology, rehabilitation, diagnostic, and surgical. We are committed to supporting patients through personalized support, detailed documentation, and outcome-oriented care coordination to make the recovery process easier. With Excelsia, patients are never far from the care they need—with the compassion they deserve.

Founded on the values of respect and trustworthiness, we are committed to delivering services that adhere to the highest legal, regulatory, and ethical standards. As responsible corporate citizens, we integrate environmental, social, and governance (ESG) considerations into our business practices, ensuring that we positively impact the healthcare companies we serve, our employees, and the communities we reach.

Responsibilities

  • Timely data entry, prior authorizations, and follow-up of all diagnostic imaging ordered (PA, DE, NJ).
  • Handle internal and external correspondence to obtain correct billing information for studies and ensure reports are received.
  • Effective communication between office, patient, attorney, and MRI facility.
  • Document studies ordered, then follow up to confirm the test was done and the report was received.
  • Navigate EHR for claim and health insurance information, requesting a letter of protection or claim info when needed.
  • Process prior authorizations through commercial health insurances.
  • Reach out to MRI facilities directly to confirm if a patient showed to an appointment, is scheduled, or for official reports to be sent.
  • Periodically review yearly spreadsheet for outstanding scripts and determine the reason for incompletion.
  • Assist Intake Team, Patient Care Team, and Medical Procedure Scheduling Team as needed.
  • Other duties as assigned.

Requirements

  • Prior authorization experience required.
  • Excellent verbal and written communication skills.
  • Strong organization and computer literacy skills.
  • Ability to effectively communicate and train all levels of employees.

Physical/Mental Requirements

  • Sitting, standing, walking, reaching above shoulder length.
  • Working with body bent over at waist, working in kneeling position, climbing stairs, climbing ladders.
  • Working with arms extended at shoulder length.
  • Lifting a maximum of 20 lbs.

Benefits

  • Medical, Dental, and Vision plans through CareFirst with PPO and HSA options available the first of the month after hire date.
  • Rich leave benefits including PTO (accrued starting on your first day of work), 8 company-recognized paid holidays plus a floating holiday, and 5 days of sick leave each calendar year.
  • Employee Assistance Program, Earned Wage Access, and Employee Assistance Fund.
  • Discounts on shopping and travel perks through WorkingAdvantage.
  • 401(k) retirement plan with employer match.
  • Paid training opportunities and Education Assistance Program.
  • Employee Referral Bonus Program.

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