Insurance Verification and Authorization Representative

Company: Gateway Radiology Consultants, P.A.
Location: Saint Petersburg
Posted on: June 18, 2022

Job Description:

Job DescriptionAre you passionate about helping others? We are seeking a highly self-motivated, detail-oriented individual for this high volume position. Responsible for verifying eligibility, patient responsibility, and obtaining and documenting insurance referrals /pre-certification/authorizations for a variety of diagnostic imaging services and procedures. We are looking for someone who possesses a proactive work ethic and the ability to work both independently and within a team environment. The ideal candidate must have reliable transportation and superb attendance. If this describes you, join us in a rewarding career helping others! Essential job functions:Verify health insurance, workers compensation, and Auto insurance eligibility and obtains member responsibility Reviews clinical documentation to ensure it supports the insurance requirements for approval Requests authorization / referral / pre-authorization for scheduled visits and procedures Communicate with PCP, specialist, patient, and insurance companies regarding referrals, authorizations, and pre-certifications Works cohesively between other departments when additional information is required Follow-up on pending authorizations in a timely manner Communicates with patient prior to procedure to review benefits, as well as, provide an estimate of patients financial responsibility Answer calls from providers, patients, and insurance companies related to referral/authorization/pre-certification requests Specific Skill/Requirements:MUST have High school diploma or equivalent Prior scheduling experience a MUST MUST have excellent experience with EMR and computer skills (MS office, etc.) Minimum of 3 years prior insurance verification and authorization in a medical office experience A MUST (Radiology experience a PLUS) Demonstrated ability to problem solve Excellent customer service skills, and ability to communicate effectively MUST be able to function well under pressure, make decisions quickly, and manage confidential information Solid working experience working well with the public, presenting a friendly, professional appearance, while interacting with people. MUST have reliable transportation and superb attendance Must be able to multi-task, as this is a high volume office! Must be able to work independently as well as within a team environment Strong knowledge of medical terminology FT Position with excellent benefits!!! Salary based on experience. MUST INCLUDE SALARY REQUIREMENT TO BE CONSIDERED!!!!!ANY APPLICANTS NOT LISTING AN AMOUNT OR LIST "NEGOTIABLE" , WILL NOT BE CONSIDEREDDFWP EOE

Keywords: Gateway Radiology Consultants, P.A., St. Petersburg , Insurance Verification and Authorization Representative, Other , Saint Petersburg, Florida