MRI – AR/Insurance Rep/Visco AuthorizationsPrint

Job Summary

Proliance Orthopaedics and Sports Medicine, a division of Proliance Surgeons, Inc., currently has an opening for an MRI AR/Insurance Rep/Visco Authorizations.

Job Description

Posted: 06/08/2020
Status: Full Time
Type: Clinical
City: Issaquah, WA

Busy Orthopaedic practice in Issaquah, WA is seeking a motivated individual who has the ability to work independently as well as on a team to join the billing department as an Insurance Accounts Receivable Representative and Authorization Specialist. 

 

Duties and Responsibilities include:

  • Research denied, delayed and underpaid claims
  • Initiates appeals as necessary
  • Ability to troubleshoot and resolve unpaid claims
  • Follows up on payment errors and low reimbursements
  • Navigate online payer portals for claims status and appeal submission
  • Reviews explanation of benefits (EOBs) to ensure proper reimbursement of claims and reports any problems, issues or payer trends
  • Works collaboratively with MRI department when called upon for pricing of CPTs
  • Maintains HIPPA patient confidentiality standards for medical and financial information
  • Customer service - handling incoming calls from patients regarding balances
  • Other billing duties as assigned

VISCO duties include the following:

  • Confirm insurance eligibility either online or by phone
  • Submit for authorization for Visco injections thru medical insurance or specialty pharmacy
  • Fax prescriptions from providers.
  • Track delivery of injections
  • Notify MA's when injection is received in clinic

 

Skills Strongly Preferred:

  • Ability to work claims-collections for MRI
  • Strong attention to detail
  • Self-directed/Motivated
  • Ability to work independently as well as in a team environment
  • Ability to be well organized, detail oriented in a fast paced environment

 

Qualifications:

  • Minimum three years physician billing and collections experience required
  • Next Gen experience is preferred but not mandatory
  • Working knowledge utilizing One health port, Navinet and other carrier websites
  • Working knowledge of medical terminology, abbreviations and anatomy

Competitive salary and benefits package including excellent medical, dental and retirement plans.

 

How to Apply:

Please submit your resume and cover letter via the form below or via email to l.fox@proliancesurgeons.com.



Apply Now

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