Proliance Orthopaedic and Sports Medicine, a division of Proliance Surgeons, Inc., is a busy practice seeking a full-time MRI Authorization Coordinator who is, motivated, self-directed, and a hardworking individual.
This position will manage all aspects in securing authorization for MRI scans as well as clinical follow up appointments. The hours are Monday- Friday 8:00-4:30.
Duties and Responsibilities:
Reviews and comprehends patient progress notes, lab reports, imaging reports, and plan of care Identifies appropriate medical documentation that satisfies payer medical policy criteria
Interacts professionally and effectively with clinicians, patients, and insurance companies
Effectively coordinates Peer to Peer discussions between Clinicians and Insurance companies
Follows-up with patients in the case of denied coverage of a radiology exam. Provides superior customer service to all patients, works through patient-raised issues, and recommends appropriate solutions
Verifies insurance eligibility and benefits, utilizing automated eligibility systems, payer portals, or telephone communication
Maintains organized, detailed summaries of prior authorization requests to support post-claim denial workflows
Additional duties as assigned
Skills Strongly Preferred:
Effective communication skills
Ability to work in high volume patient environment
Strong attention to detail
Working knowledge of medical terminology, abbreviations and anatomy