Insurance Verification Authorization

About the role

MRI & CT Diagnostics seeks an individual to verify patient insurance benefits and obtain necessary authorizations and referrals for services rendered.

Responsibilities

• Verify insurance coverage and benefits for all scheduled patients at least 24-48 hours in advance
• Confirm accurate billing address of carrier and contact person when appropriate
• Confirm patient demographics, referring physician information and other chart information is accurate
• On behalf of the referring physician, obtain authorization for services from insurance company if required
• Process patient and insurance carriers telephone calls
• Contact patient and/or referring physician when insurance coverage cannot be verified
• Notify patient of any co-payments, cost-shares, or deductibles
• Communicate with Scheduling Department when authorization cannot be obtained
• Communicate with the front desk of any special circumstances
• Properly notate accounts of all communications with patients
• Assure that copies of all referrals, written authorizations and authorization numbers are entered in patient RIS record and provided to the billing department
• Obtain necessary clinical records to facilitate obtaining authorization
• Contact attorney, verify representation and billing address, date of accident or injury. Instruct front desk personnel to obtain patient signature on lien letter
• Review authorization letters for accuracy
• Refer patients with special payment circumstances to management
• Communicate changes with insurance companies requirements with staff and management
• Maintain the current exam board as well as the pending board

Requirements

• High School Diploma
• Previous healthcare experience preferred, with courses in medical terminology preferred
• Ability to operate copier, FAX machine, and computer
• Excellent organizational, communication and interpersonal skills
• Ability to set priorities and manage varying workload

Qualifications

• Must be able to remain calm in stressful situations
• Must display courtesy and empathy toward co-workers and physicians
• Must be able to make sound judgments and execute the appropriate actions based on the needs of the knowledge of departmental policies and procedures
• Must be discrete with confidential information and abide by corporate HIPAA policies
• Must be able to move about freely
• Sits, stands, walks intermittently during the day
• Must possess sufficient visual and auditory acuity, and manual dexterity to perform task
• Must attend mandatory practice training and departmental requirements annually

Skills

• Excellent organizational, communication and interpersonal skills

Benefits

• Not specified

Pay

• Not specified

Schedule

• Not specified