Hybrid Authorization Specialist – Medical Billing & Verification

Rhode Island Medical Imaging; Warwick (RI); Hybrid; USD 42,000 - 61,000; Full time

Job summary

Rhode Island Medical Imaging is seeking a billing professional to obtain prior authorizations, verify insurance, and collect balances. You will assist patients with questions on coverage and payments, supporting cash flow for the organization.

Role requires accuracy in CPT/HCPCS/ICD-10 coding, knowledge of payer guidelines, and the ability to work with a team in a fast-paced imaging environment. The position offers on-site training at Warwick, RI and will transition to hybrid work after training.

Qualifications

• Knowledge of third-party billing requirements.
• Ability to collect payments sensitively yet effectively.
• Adapt to changes in collection rules by law or management.
• Team-oriented and able to work with others.
• Excellent telephone and interpersonal skills.
• Bilingual is a plus.

Responsibilities

• Obtain prior authorizations for selected exams and document accordingly.
• Verify insurance and collect out-of-pocket expenses prior to exams.
• Explain coverage and payment questions to patients.
• Process daily eligibility reports to verify insurance.
• Use billing and scheduling software to maintain workflow.
• Complete HCFA 1500 form and stay updated on billing guidelines.
• Use CPT/HCPCS/ ICD-10 codes in daily workflow.
• Coordinate with supervisor to ensure accounts remain collectable.
• Stay informed on insurance policy changes.
• Maintain professionalism and HIPAA compliance.
• Attend meetings and perform other duties as assigned.

Skills

Billing knowledge

Communication

Teamwork

Decision making

Phone skills

Bilingual

Education

High school diploma

Insurance billing courses

Medical terminology

Tools

Billing software

Job description

Rhode Island Medical Imaging is seeking a billing professional to obtain prior authorizations, verify insurance, and collect balances. You will assist patients with questions on coverage and payments, supporting cash flow for the organization.

Role requires accuracy in CPT/HCPCS/ICD-10 coding, knowledge of payer guidelines, and the ability to work with a team in a fast-paced imaging environment. The position offers on-site training at Warwick, RI and will transition to hybrid work after training.