Authorization Coordinator

Midstate-Radiology-Associates-1; Yalesville (CT); On-site; USD 29,000 - 36,000; Full time

Job summary

Midstate Radiology Associates in Wallingford, CT is seeking a full-time Authorization Coordinator to obtain insurance authorizations for imaging exams. This on-site role runs Mon-Fri, 8:00 AM to 4:30 PM or 8:30 AM to 5:00 PM, with starting pay in the $21.00–$26.30 hourly range and potential advancement to Authorization Coordinator II after six months.

The ideal candidate will work confidently with patients, carriers and physicians, using CPT codes accurately, and maintain precise data entry

Qualifications

• High school diploma or equivalent.
• Prior medical insurance experience preferred.
• Strong knowledge of HMO insurance carrier products and requirements.
• Clear verbal and written communication skills.

Responsibilities

• Obtains insurance authorizations and eligibility for scheduled exams.
• Enters data accurately and applies CPT codes for authorizations.
• Contacts insurance companies for prior authorization and predetermination.
• Notifies staff of authorization updates and educates external customers on procedures.
• Works with denials by researching, appealing, and communicating with payers.
• Schedules certain exams as directed by the Manager.

Skills

Communication skills

Computer skills

Organizational skills

Attention to detail

Medical insurance terminology

Education

High school diploma or equivalent

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Regular Clerical Wallingford Access Center, Wallingford, CT, US

8 days ago Requisition ID: 2005

Salary Range: $21.00 To $26.30 Hourly

Join Midstate Radiology Associates (MRA) as a Full Time Authorization Coordinator working on-site in Wallingford, CT.

Position Schedule

Mon - Fri, 1st Shift (8:00 AM - 4:30 PM or 8:30 AM - 5:00 PM)

Compensation

MRA offers competitive starting compensation based on qualifications and experience. Starting pay for this position is between $21.00 - $26.30. Opportunity for advancement to Authorization Coordinator II, with pay increase, after six months of service.

Job Summary

The Authorization Coordinator is responsible for obtaining insurance authorizations from carriers to assure proper payment is made for exams. Successful candidates will be comfortable with medical terminology and communicating effectively with patients, insurance carriers and physicians.

Key Accountabilities

• Obtains documents, verifies and conducts follow-up on insurance authorizations and insurance eligibility as required for scheduled exams. Consults with supervisor on complex and/or difficult situations.
• Enters data accurately into system, applying CPT codes to match authorization for exam. Consults with Modality Protocoller, Clinical Managers, or technologist, as needed to ensure accuracy and smooth workflow. Maintains CPT code authorization files based on managed care contracts. Performs clerical duties as needed.
• Contacts insurance companies to obtain prior authorization and predetermination for imaging exams ordered by providers. Checks insurance eligibility to ensure that the information provided matches the insurance carrier’s database information.
• Prepares written communication to notify appropriate staff of authorization updates and/or changes for insurance carriers. In support of marketing efforts to enhance relationships with referring physician offices, interacts with external customers to inform and educate regarding authorization procedures. Works collegially and professionally with all internal and external staff members and physicians.
• In cooperation with the Business Office, works insurance denials by researching, sending appeal letters and making appropriate contact with insurance companies or billing staff. Performs quality assurance checks of scheduled and recently performed exams. Provides recommendations for policy and procedure changes to management to prevent or limit denials.
• Expected to schedule certain exams based on direction from the Manager.

Qualifications Guidelines

Education Required:

• High school diploma or equivalent.
• Prior medical insurance experience, preferred.

Knowledge:

• Must demonstrate strong knowledge of HMO insurance carrier products, including authorization and referral requirements, as well as the ability to communicate clearly and tactfully, verbally and in writing.

Skills/Abilities:

• Must possess good computer skills, strong organizational skills and attention to detail
• May occasionally be required to carry up to 10 lbs. Sitting will be required 90% of the time.

Our team at Midstate Radiology Associates benefits from a diverse workforce and we welcome anyone to apply:

Midstate Radiology Associates is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Contact

To learn more about Midstate Radiology Associates, including more information on employee benefits and our company culture, please visit our website: www.MidstateRadiology.com

Shift Schedule

Mon - Fri, 1st Shift (8:00 AM - 4:30 PM or 8:30 AM - 5:00 PM)

Scheduled Weekly Hours

40