MRI Authorization Coordinator

Tennessee Orthopaedic Alliance; Murfreesboro (TN); On-site; USD 35,000 - 47,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Paid Time Off

401(k) with match

Job summary

Tennessee Orthopaedic Alliance in Nashville, TN is hiring an MRI Authorization Coordinator to manage pre-certifications, retro-authorizations, and appeals for MRI services. The role supports Patient Services and collaborates with MRI Technologists and staff to ensure smooth scheduling and coverage during staffing shortages.

The successful candidate brings 6 months of healthcare experience (or equivalent), basic computer skills, and an organized, detail-oriented mindset.

Qualifications

• Minimum 6 months healthcare experience or training.
• High school diploma or GED required.
• College degree preferred.

Responsibilities

• Obtain pre-certifications and supporting documents; follow up.
• Notify physicians of denials; peer-to-peer requests and follow up.
• Obtain retro-authorizations; write appeal letters as needed.
• Assist in tracking monthly outsourced MRIs (Excel).
• Work with MRI staff to maintain schedule and coverage.
• Maintain HIPAA confidentiality at all times.
• Fill in for MRI Patient Access Specialists as needed.
• Assist MRI Director with other projects.

Skills

Customer service

CPT/ICD coding

Insurance guidelines

Denials & appeals

Multi-tasking

Organized

Clerical skills

Excel

Basic computer skills

Math skills

Customer relations

Dependability

Team player

Education

High school diploma or GED

College degree preferred

Tools

Excel

Job description

Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Nashville and Middle Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system which allow our patients to live their best life. Ninety plus years later we are advancing the practice of orthopaedic surgery throughout the state.

There are a number of reasons why TOA is an employer of choice; here are a few of them:

• Stability - TOA has been in Middle Tennessee since 1926 and has expanded to nearly 20 locations!
• Impact - TOA's team members use our careers – whether in our clinics or our business office – to make a positive difference in the community by building relationships and helping patients live their best life.
• Work Environment - The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement.
• Total Rewards - TOA offers competitive salaries based on the current Middle Tennessee wage market, plus a comprehensive suite of benefits, including Medical, Dental, Paid Time Off, and more. Our 401(k) plan provides a company match, safe harbor match and profit sharing match to go along with your contributions.

Our MRI Authorization Coordinator performs all duties related to direct contact with insurance providers to obtain authorizations for MRIs, obtain retro-authorizations and file appeals. This role will also perform duties of Patient Services Specialist occasionally to provide seamless coverage throughout scheduled work day and during staffing shortages.

• Calls to get pre-certifications including faxing clinical notes and supportive documents and follow up
• Notifies physician and nurses of denials and peer to peer requests and performs follow up
• Obtains retro-authorizations and writes appeal letters as neededAssist in tracking monthly outsourced MRIs. (Excel spreadsheet)
• Works closely with MRI Technologists and Patient Access Specialists to maintain the MRI schedule
• Maintains strictest confidentiality following HIPAA guidelines
• Fills in for MRI Patient Access Specialists as needed
• Fills in at other MRI facilities as needed
• Assists MRI Director with other projects as needed
• Maintains strictest confidentiality following HIPAA guidelines

Requirements

• Minimum 6 months related experience and/or training in a healthcare environment; or equivalent combination of education and experience.
• While a college degree is preferred, a high school diploma or general education degree (GED) is required

The Successful Candidate Should Possess

• Exceptional customer service orientation and demonstrated capacity to work in a team
• Working knowledge of CPT and ICD9/ICD10 coding
• Working knowledge of insurance provider Imaging Guidelines
• Working knowledge of denials and appeals
• Must be able to multi-task
• Must be organized and responsible
• Knowledge of clinic cash policies and procedures
• Basic computer skills. (Excel experience a plus)
• Basic office clerical skills
• Simple math and calculator skills
• Customer relations skills
• Honesty
• History of dependability

TOA is an equal opportunity employer.

TOA conducts drug screens and background checks on applicants who accept employment offers

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.