MRI Authorization CoordinatorPrint

Job Summary

Proliance Orthopedic and Sports Medicine, a division of Proliance Surgeons, Inc., is a busy Orthopaedic practice is seeking a motivated self-directed hard working individual to manage all duties relating to authorization and scheduling for MRI’s.

Job Description

Posted: 04/12/2018
Status: Full Time
Type: Administrative
City: Issaquah, WA

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

Skills Strongly Preferred:

  • Effective communication skills
  • Ability to work in high volume patient environment
  • Strong attention to detail/organization
  • Self-directed/Motivated
  • Working knowledge of medical terminology, abbreviations and anatomy
  • Experience verifying insurance utilizing online portals
  • 1 year experience in referral coordination required
  • Next Gen AND Epic experience preferred

How to Apply:

If interested in applying, please email your cover letter and resume through the form below or email to .

Apply Now

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