We are a busy physician-run Diagnostic Imaging Center, dedicated to providing the absolute best in patient care. We have hospital-level technology, with personal, friendly care, and without the hospital prices. We are a family-operated facility that strives to create a caring and comfortable atmosphere for our patients and employees!* We are looking to grow our diagnostic imaging multi-clinic practice with the right people.

DESCRIPTION
The Precertification Specialist is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial payers.

• Prioritize incoming authorization requests according to the urgency

• Obtain authorization via the payer website or by phone and follow up regularly on pending cases

• Maintain individual payer files to include up-to-date requirements needed to successfully obtain authorizations

• Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order Review accounts with HMO plans and ensure that all required referrals are obtained from the referring provider prior to the appointment date.• Contact patients to discuss authorization status

• Other duties as assigned

• Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively

• Basic understanding of human anatomy, specifically musculoskeletal

• Proficient use of CPT and ICD-10 codes

• Excellent computer skills

.• Detail oriented with above-average organizational skills

• Plans and prioritizes to meet deadlines

• Excellent customer service skills; communicates clearly and effectively

• Ability to multitask and remain focused while managing a high-volume, time-sensitive workload

• 2 years of medical prior authorization experience preferred

• 2 years experience in a medical-related field required

BENEFITS

• 401(k)
• 401(k) matching
• Health insurance
• Paid time off
• Uniform allowance