MRI Pre-Certification Specialist

MRI Pre-Certification Specialist Kayal Orthopedic Center, joint venture of RWJ Barnabas - 3.4 Paramus, NJ Job Details Full-time $22 - $23 an hour 1 hour ago Benefits Health insurance Dental insurance 401(k) Flexible spending account Paid time off Vision insurance 401(k) matching Qualifications Insurance prior authorization Electronic health records (EHR) management Front desk Patient interaction

Full Job Description Summary:

The Precertification Team is responsible for obtaining prior authorizations and ensuring insurance approval for diagnostic testing such as MRIs and CTs. The team serves as a liaison between patients, providers, and insurance companies to secure timely approvals, prevent denials, and support smooth patient care.

Key Responsibilities:

Verify patient insurance coverage. Obtain prior authorizations and pre-certifications from insurance carriers. Accurately document all communications, approvals, and reference numbers in the patient's medical record. Communicate authorization status with providers, clinical staff, and patients. Follow up with insurance companies to ensure pending authorizations are processed. Collaborate with front desk, billing, and clinical teams to reduce delays and denials. Maintain knowledge of insurance requirements, medical necessity criteria, and policy updates. Escalate urgent cases appropriately to avoid interruptions in patient care. Utilize EMR system E-Clinical Works (ECW)

Job Type:

Full-time Pay:

$22.00 - $23.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Flexible spending account Health insurance Paid time off Vision insurance

Work Location:

In person