Diagnostic Benefits Specialist Position Available In Charleston, South Carolina

Diagnostic Benefits Specialist 2.7 2.7 out of 5 stars 2500 Elms Center Rd, North Charleston, SC 29406 Palmetto Primary Care Physicians (PPCP) is the largest independent multi-specialty group practice in South Carolina and has proudly served patients and our communities since 1996. The group is comprised of over 100 clinical providers with a wide range of expertise in primary and specialty care including endocrinology, gastroenterology, neurology, psychiatry, audiology, and physical therapy. PPCP offers a wide range of services, including a state-of-the-art urgent care clinic, imaging, diagnostics, and labs. The company employs over 500 clinical and non-clinical staff throughout South Carolina and provides exceptional medical care for patients in over 40 offices. To learn more about PPCP, visit www.

PalmettoPrimaryCare.com Offer 401K with generous company match

Medical, Dental, Vision Benefits Short Term and Long Term Disability Offered Position Responsibilities:

Selects appropriate test and informs the patient or physician office staff of any carrier that is out of network or plan that may result in a reduction in benefits Contacts insurance carries via telephone or through verified web portal to initiate prior authorization request Maintains files of approved and denied request Select the correct patient medical record consistently Acknowledge, file, and send actions/messages via eCW. Works assigned diagnostic imaging prior authorization request within a 1-2-day time frame to ensure patients are scheduled in a sufficient manner Fax requested clinical information to insurance companies to obtain prior authorization Follow up with insurance carriers in a timely manner to check the status of request Notifies referring provider of any additional information needed as well as options to further provide this information to carriers (e.g. Peer to peer request) Answers the telephone in a timely and professional manner Schedules all patients for ancillary and medical testing/procedures through the eCW scheduling module Informs the physician office staff or patient of any testing requirements according to the instructions and queries in the scheduling module Edit via the scheduling module those departmental calendar changes to ensure that patients are not scheduled when personnel is not available Acknowledge, file, and send actions/messages via eCW. Work all diagnostic imaging orders within a 2-3 day time frame to ensure patients are scheduled in a sufficient manner Other duties as assigned

Education:

High school or equivalent (Required)

Experience:

Medical office: 1 year (Required) Supports the Diagnostic Department and the organization’s mission, vision, and values by exhibiting compassion, integrity, accountability and excellence. Serves a key member of the diagnostic department by collaborating with providers, colleagues, patients and family members to promote a patient-driven model of care that ensures the delivery of quality and cost-effective healthcare services. EOE