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MP
Millennium Physician Group, LLC
Imaging Eligibility Authorization Specialist
Career Insights for Eligibility Specialist
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Scorecard
Based on Florida data
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What they do
An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.
$44,207 / year median in Florida
+17% projected growth
Job Description
Job Description Summary The Eligibility Authorization Specialist obtains benefit verification and pre-authorization for outpatient imaging services as specified based on insurance carrier requirements for PET, MRI, CT and Nuclear Imaging (High-Tech Imaging Services). S/he reviews daily worklists and schedules and verifies all information needed to obtain authorization is in system. S/he coordinates with external vendors to expedite obtaining Eligibility, Benefit and Authorizations, as well as directly processing authorizations as needed. S/he communicates authorization results with insurance carrier, physician office, billing office and patient to ensure payment is made timely for the service provided. All other duties as assigned. How will you make an impact & Requirements