Precertification Specialist/Scheduler – Oil City News


STAT Pre-Auth/Scheduler – 2301

Outpatient Radiology, LLC is dedicated to providing services that are unsurpassed in terms of quality and efficiency, all while cultivating a culture that values the needs of every patient. We recognize that patients have many choices in terms of their healthcare. We combined the latest technology with the best quality of care, and the best patient experience available in this area to help make the choice easier.

Job Description:
Work with insurance companies to get pre-certification of diagnostic imaging orders.

  • Answer promptly any requests from the referral source for information, documentation or other reports.
  • Get accurate information about payment sources and patient information.
  • Get authorization to start services from payer sources
  • Answer and screen phone referrals
  • Answer incoming calls and schedule appointments for patients.
  • Help resolve insurance issues and eligibility issues
  • Responsibilities include obtaining pre-authorization and communicating it as required per the requirements of insurance companies
  • Responsible for tracking and obtaining authorizations from different carriers, extending them in a timely fashion, and asking input from the appropriate team members when needed.
  • Follow up on services to ensure they are still available, eligible and authorized
  • Verify payers or communicate benefit issues
  • Keep track of insurance information and share it with relevant staff
  • Confidentiality of patient information
  • Maintain and work independently from the electronic medical records and additional databases
  • Obtain pre-certification number from physician’s office if applicable
  • List of current facility insurance contracts
  • Help in the creation, organization and maintenance of role-specific documents, policies and tools
  • Maintain compliance by following company policies and procedures, as well as all federal, state and regulatory guidelines

Requirements:

It is not required

  • USCIS requires proof of eligibility to work in America.
  • Excellent communication skills in written and verbal form, as well as excellent customer service skills.
  • Ability to read, write and use computer and paper.
  • Attitude of forgiveness and willingness to take responsibility for actions.
  • A growth mindset is essential.
  • Be open to constructive criticism.

Preferred

  • Experience with insurance verification.
  • Minimum of 2 years’ experience pre-authorizing medical imaging exams across modality and specialty.

Work Environment:

Must be able sit or stand for ergonomic purposes for at least eight hours each day. The equipment you will use daily includes a phone, computer, scanner, printer, fax & copy machine.

Position Details
Full-time

Non-Exempt

Monday – Friday 8:00 AM – 5:00 PM

Pay rate is dependent upon experience.

Job Type: Full-time

Pay: $16.00 – $18.00 per hour

Benefits:

  • 401(k)
  • 401(k), matching
  • Bereavement leave
  • Dental insurance
  • Health insurance for dependents
  • Disability Insurance
  • Flexible Spending Account
  • Flu shots are available for free
  • Parking is free
  • Health Insurance
  • Life insurance
  • Opportunity for advancement
  • Paying orientation
  • Paid sick time
  • Paid time off
  • Vision Insurance

Healthcare setting:

  • Medical offices
  • Outpatient

Medical Specialties

Schedule:

  • 8 hour shift
  • Monday to Friday

Ability to relocate:

  • Casper, WY: Plan to relocate or commute reliably before starting your job (Required).

Experience:

  • Customer service for 1 year (Preferred).
  • Medical terminology: one year (Preferred).
  • Computer skills: Minimum 1 year (Preferred).

Work Location In person

Please email resume to [email protected]

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