Medical Insurance/Authorization Specialist Position Available In Polk, Florida
Tallo's Job Summary: The Medical Insurance/Authorization Specialist at Radiology and Imaging Specialists in Lakeland, FL is responsible for verifying insurance eligibility, obtaining authorizations, and resolving billing issues for patients. This full-time position requires a 4-year degree, 1-2 years of relevant experience, and skills in patient care, communication, and HIPAA regulations. Physical requirements include sitting or standing for long periods, lifting up to 50 lbs, and good vision and hearing.
Job Description
Medical Insurance/Authorization Specialist 2.7 2.7 out of 5 stars 3221 Florida Avenue South, Lakeland, FL 33803
Job Title:
Insurance Specialist Job Location:
1417 Lakeland Hills Blvd., Ste. 102
Division/Department:
Radiology and Imaging Specialists:
LVI, LVI
Institute, VCS, ASC Reports to:
Office Supervisor Type of Shift:
Full Time Introduction:
The Insurance Specialist for
LVI/VCS/ASC
provides support for the clinic in the insurance verification and authorization process for procedures and will individually, or as part of a part of team, work to achieve assigned goals. An Insurance Specialist ensures accurate and timely insurance eligibility and coverage information for patients, often interacting with insurance companies and patients to verify coverage details, obtain pre-authorizations, and address related inquiries. Responsibilities include updating patient information, documenting interactions, and resolving billing issues.
Job Objectives:
Responsible for verifying and interpreting insurance eligibility utilizing third-party insurance verifier, phone and company websites Obtain insurance authorization to ensure precertification, and referral requirements are met prior to delivery of services Review daily clinic and LVI schedules for necessary prior authorizations and referrals for scheduled and unscheduled patients. Obtain, interpret and submit procedural and specific services authorizations to the appropriate insurance and payors. Process incoming and outgoing referrals in eCW and MedInformatix. Scan referral/authorization documents into eClinical Works and MedInformatix. Enter documentation into each referral account. Disseminate authorizations, referrals and documentation for scheduling. Schedule Peer to Peer reviews Other related work as assigned.
Education and Experience:
4 year college degree preferred 1 – 2 years in either medical sales or physicians relations. Working knowledge of radiology procedures is preferred
Skills & Qualifications:
Skills in establishing and maintaining effective working relationships with staff and patients and the ability to work independently Excellent patient care and customer service Ability to manage work lists and prioritize workflow Excellent communication skills with management, staff and patients Maintain and uphold HIPAA regulations
Physical Requirements:
Ability to sit or stand for prolonged periods Normal hand eye coordination and manual dexterity Ability to lift up to 50 lbs. Ability to distinguish letters and symbols Ability to respond quickly to sounds Clarity of vision at close distances (20 inches or less) and far distances (20ft or more) Radiology and Imaging Specialists is an equal opportunity employer
