Medical Pre-Registration Specialist (entry-level and/orbeginner with little or some experience around radiology) Representative - Full-Time - this position gives the talent opportunity to grow within an amazing organization. Great opportunity to join an amazing medical practice in Mercer County. The Pre-Authorization/Pre-Registration Representative is responsible for ensuring verification of insurance information, plan benefits and pre-certification requirements, and documents patient's financial obligation prior to scheduled appointment. Also responsible for obtaining prior authorization from payers for services provided by this medical office. This organization believes in great growth; as they are in growth mode!

Responsibilities:

Work closely with referring physicians and payors to ensure authorization for the patient's procedure is obtained prior to the patient's appointment. Input proper corrections and document all relevant information in system as needed. Contact patient to schedule procedure, inform patient of instructions for the procedure and any additional relevant instructions. Effectively handle and troubleshoot authorization denials following established protocols. Communicate all challenges, potential impact the challenge may have on the department and possible solution(s) to the management team. Review patient's insurance information and eligibility for services. Verify pre-certification and referral requirements are needed prior to services. Document patient financial obligation; copays, coinsurance, deductible, self-pay etc. Communicate with insurance companies, referring physicians, and/or patients to verify insurance eligibility and pre-authorization status as needed. Re-schedule patients as needed Demonstrate ability to keep abreast of regulatory and insurance requirements ensuring that changes are incorporated in daily job functions.

Qualifications:

High School Diploma or GED required. Minimum one year of medical office experience required. Experience working at or for a radiology office/department Monday through Friday day schedule. Demonstrated knowledge with clinical data and medical terminology. Demonstrated proficiency with computer technology. Ability to work effectively while handling multiple tasks on a timely basis in a team environment. Detail oriented with strong organizational skills. Self-motivated with a desire to provide excellent customer service Excellent verbal and written communication skills Demonstrated ability to speak effectively and present a pleasant, profession demeanor/image during telephone conversations or in person. Ability to handle sensitive and confidential information according to policy.

Job Type:

Full-time Pay:

$22.00 - $23.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person