MG Insurance Verifier Position Available In Bristol, Massachusetts

Primary duties include the verification of financial coverage andpre-authorization of patient appointment for specified Radiology exams.

Requires knowledge of a variety of imaging procedures to be able toassist others in the appropriate booking of a wide range of imagingexams. Other duties not mentioned are not excluded from this position ifthe work is similar related or are a logical assignment to the position.

Performs in accordance with the facility’s policies and procedures.

Follows the facility’s standards for ethical business conduct. Conductsself as a positive role model and team member. Participates in facilitycommittees meetings in-services and activities

Responsibilities:

KEYRESPONSIBILITIES

Records all insurance benefit and certificationinformation in the applicable computer system. Completes and distributesall paperwork required by insurance and Imaging department. Gathers allnecessary information from secretaries to obtain pre-authorizations andpre-certifications as stipulated by each individual health plan forDiagnostic Imaging services and communicates with scheduling whenadditional information is required. Interfaces on a daily basis withinsurance carriers individual insurance provider authorizers medicalgroups and scheduling coordinators to maximize efficiency. Followscompany/department policies and procedures as well as compliancestandards. Notifies management staff when problems arise. When providingscheduling services maintains communication with the ordering physiciansand their secretaries to schedule patients for a variety of imagingprocedures. Knowledge regarding the appropriate exam preparationappointment arrival time and contraindications. Able to communicatethese instructions to both the scheduling secretaries and the patientsthat may call directly. Utilizes payer websites to determine eligibilityand benefit determination to ensure radiology exams are covered and toprevent denials. Other duties as assigned.

Other information:

REQUIREDQUALIFICATIONS

Minimum of 2-4 years’ experience in medical officesetting required; medical terminology and computer skills preferred.

Excellent customer service /communication skills. Detailed knowledge ofthird-party payer requirements for authorization requirements tofacilitate payment for Imaging services. Familiar with medicalterminology ICD-10 coding and CPT procedure codes preferred Ability toprocess multiple tasks in an ever-changing environment and prioritizeworkload effectively. Must be able to function independently.

EDUCATION

High school diploma or equivalent required associate degree orSecretarial certificate preferred