Radiology Authorization Strategist

Mana---Medical-Associates-of-Northwest-Arkansa

Fayetteville (AR)

On-site

USD 35,000 - 52,000

Full time

6 days ago

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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.