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Medical Authorization Specialist

2 months ago

Paradise Valley, United States IYA Medical PLC Full time
Job DescriptionJob Description


IYA Medical, AGHA Interventional Radiology is a Diagnostic and Interventional Radiology practice located in Scottsdale, AZ where patients can expect world-class, personalized care. We are seeking an exceptional, motivated, and experienced medical authorization specialist to work with our medical A/R department.


Interventional Radiology Medical Authorization Specialist:

The Interventional Radiology Medical Authorization Specialist plays a crucial role in obtaining necessary authorizations for interventional radiology procedures. They work closely with healthcare providers, insurance companies, and patients to ensure timely approvals and smooth scheduling of procedures.

Responsibilities:

  1. Authorization Coordination: Initiate and manage the authorization process for interventional radiology procedures.
  2. Documentation: Maintain accurate records of authorization requests, approvals, and denials.
  3. Communication: Communicate effectively with healthcare providers, insurance companies, and patients regarding authorization status and requirements.
  4. Insurance Verification: Verify insurance coverage and benefits related to interventional radiology procedures.
  5. Compliance: Ensure compliance with insurance regulations and company policies regarding authorization processes.
  6. Problem Resolution: Address and resolve authorization issues or denials in a timely manner.
  7. Patient Advocacy: Advocate for patients in navigating the authorization process and addressing concerns.

Qualifications:

  • Education: High school diploma or equivalent required; Bachelor’s degree preferred.
  • Experience: Previous experience in medical authorization, insurance verification, or healthcare administration preferred.
  • Knowledge: Understanding of medical terminology, insurance procedures, and authorization processes.
  • Skills: Strong communication skills, both verbal and written; attention to detail; ability to multitask and prioritize effectively.
  • Computer Skills: Proficiency in MS Office (Word, Excel, Outlook) and experience with medical billing software or electronic health records (EHR) systems.
  • Certification: Certification in medical billing and coding (e.g., CPC) may be advantageous.

Additional Requirements:

  • Ability to work independently and as part of a team in a fast-paced environment.
  • Strong customer service orientation with a focus on patient care and satisfaction.
  • Willingness to stay updated with changes in insurance regulations and authorization requirements.
  • Flexibility to adapt to changes in procedures and protocols.