Insurance Verification and Authorization Representative
Company: Gateway Radiology Consultants, P.A.
Location: Saint Petersburg
Posted on: June 18, 2022
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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
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