Authorization Specialist - (FDC)

Mana---Medical-Associates-of-Northwest-Arkansa; Fayetteville (AR); On-site; USD 35,000 - 52,000; Full time

Benefits offered by this job

Medical Insurance

Vision Insurance

Dental Insurance

HSA or FSA options

Voluntary Aflac Accident and Critical

Disability benefits

401(K) match and profit sharing

Paid time off and holidays

Training and development opportunities

Job summary

Fayetteville Diagnostic Clinic seeks an Authorization Specialist to secure all required Prior Authorizations for imaging procedures such as MRI, CT, and Ultrasound by coordinating with insurance providers. You will document authorization details into the patient data systems and collaborate with the referring physician offices to supply necessary clinical information.

The role emphasizes daily interaction with insurance providers and EMR data handling, ensuring timely authorizations to support

Qualifications

• High school diploma or GED.
• 12–18 months related experience and/or training.

Responsibilities

• Manage the authorization phase of Radiology patient encounter, verify with insurance via phone or online if pre-authorization is required for Radiology diagnostic testing.
• Able to use information provided in EMR system to complete the clinical information requirements for authorization.
• Works closely with referring physician office when an authorization request requires more detailed clinical information to support the required procedure.
• The Authorization Specialist will make requests for peer to peer reviews as necessary to obtain authorizations and approvals on testing.

Education

High school diploma or GED

Tools

EMR

Job description

Overview

The Authorization Specialist secures all required Prior Authorizations for Imaging procedures such as MRI, CT Scan & Ultrasound by working with the appropriate Insurance provider or intermediary.

The Authorization Specialist provides pertinent information requested from insurance companies and documents authorization details obtained from insurance companies into appropriate database.

Responsibilities:

• Manage the authorization phase of Radiology patient encounter, verify with insurance via phone or online if pre-authorization is required for Radiology diagnostic testing. This duty is performed daily, about 50% of the time.
• Able to use information provided in EMR system to complete the clinical information requirements for authorization. This duty is performed daily, about 10% of the time.
• Works closely with referring physician office when an authorization request requires more detailed clinical information to support the required procedure. This duty is performed daily, about 10% of the time.
• The Authorization Specialist will make requests for peer to peer reviews as necessary to obtain authorizations and approvals on testing.

Qualifications:

• High school diploma or GED
• 12 – 18 months related experience and/or training

About Fayetteville Diagnostic Clinic Fayetteville Diagnostic Clinic is a physician-owned practice who encourages teamwork and collaboration, increasing efficiency in care, and ensuring patients receive a positive health care experience. To provide a convenient patient health experience, we offer internal medicine, medical specialists, and diagnostic services in one central location.

About MANA Medical Associates of Northwest Arkansas (MANA) is an independent, physician-owned healthcare organization offering family medicine, pediatrics, women’s health, and a wide range of specialty and advanced services. As a physician-owned practice, MANA prioritizes compassionate, high-quality patient care while maintaining a personal, patient-centered clinic environment. Our team works together to manage healthcare efficiently, support excellent patient outcomes, and provide comprehensive care. Our mission is to improve the quality of life by providing compassionate, comprehensive, quality healthcare.

Benefits We Offer: At MANA, you will receive more than just pay. We offer various benefits that matter most to you. MANA team members are eligible to receive benefits. Below are some of our various benefit offerings:

Comprehensive Benefits –

• -Medical Insurance
• -Vision Insurance
• -Dental Insurance
• -HSA or FSA options with medical insurance
• -Voluntary Aflac Accident and Critical Illness
• -Employer paidlife, long-term & short-term disability benefits
• -401(K) match and profit sharing
• -Up to 21.5 paid days off (PDO, EID and Perfect Attendance benefits) & 6 days paid holidays; during your first year of employment
• -Corporate Discounts:MANA has partnerships with various local and nationwide retailers to provide discounts to you; Dell, ATT, Verizon, UARK Federal Credit Union, and many more!
• - One-On-One Training and Development:At time of hire with MANA, you will go through detailed training to ensure you are equipped with what you need for success in our clinics

Medical Associates of Northwest Arkansas (MANA) 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.

Responsibilities

• Manage the authorization phase of Radiology patient encounter, verify with insurance via phone or online if pre-authorization is required for Radiology diagnostic testing. This duty is performed daily, about 50% of the time.
• Able to use information provided in EMR system to complete the clinical information requirements for authorization. This duty is performed daily, about 10% of the time.
• Works closely with referring physician office when an authorization request requires more detailed clinical information to support the required procedure. This duty is performed daily, about 10% of the time.
• The Authorization Specialist will make requests for peer to peer reviews as necessary to obtain authorizations and approvals on testing.

Qualifications

• High school diploma or GED
• 12 – 18 months related experience and/or training