Practice Office Associate - Authorizations Rep

Job Description:

Responsible for receiving incoming telephone calls in a prompt and courteous manner, greeting patients, verifying demographic/insurance, collecting co-payments/deductibles, and various clerical duties.

Job Responsibility:

• Promptly and professionally answers telephone calls, and if appropriate routes them appropriately.
• Organizes messages and delivers them promptly to the necessary individual.
• Greet patients and guests in a courteous and professional manner.
• Verify insurance coverage and demographic information.
• Obtain insurance referrals and authorizations.
• Direct patients to appropriate waiting or clinical areas.
• Explain financial obligation to patients or responsible parties and collect. copayments/co-insurance/deductibles as required.
• Facilitate or create appointments for follow-up care, diagnostics procedures, physical therapy, or pain management.
• Other duties as assigned by a manager or supervisor.

Job Qualification:

• High school diploma or general equivalency diploma (GED).
• Minimum one year of relevant experience working in a medical facility or related field.
• Minimum one year experience in customer service or reception, preferably in a health care environment.

Additional Details: Authorizations Representative - Remote

• Experience with radiology CPT codes, medical background, Insurance knowledge, preferred.
• Previous insurance and authorization experience, preferred.
• Initiates request for MRI Injection Authorization from commercial carriers.
• Updates and records authorization related information in our system.
• Perform clinical reviews of authorization requests.
• Provides accurate and complete documentation to approve MRI Injections requests.
• Collaborate with applicable staff to coordinate patient care.
• Adheres to all HIPAA guidelines and regulation.

*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).