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Medical Authorization
4 months ago
IYA Medical, is a state-of-the-art, growing Radiology and Interventional out Patient Facility in Prescott, Arizona. We are looking for a Medical Authorization/Scheduler to join our busy and expanding practice. Knowledge of protocols/clinical guidelines necessary.
Essential Job Responsibilities:
-Experience working in patient authorizations and scheduling required.
· Utilizes the practice management scheduling system to insure scheduled patients per the physician's protocols have medical authorization for procedure.
- Schedules and Reschedules patient appointments as indicated by established guidelines and protocols.
- Demonstrates flexible and efficient time management and ability to prioritize workload.
- Monitors and fills in schedule with add-ons throughout the day.
· Reviews cases with the physician for the next day schedule.
· Communicates accurately with the physician and clinical staff regarding same or next day add-on patients, supplies, and changes in the schedule.
- Ensures that patient demographic and insurance data is complete and accurate (e.g. Patient contact phone numbers, Insurance carrier and ID#).
· Reviews the patient’s chart and confirms referrals, orders, prior authorizations and eligibility have been completed prior to the patient’s scheduled appointment.
· Performs patient eligibility checks through the practice management system upon scheduling.
- Attaches orders that have been faxed to the appropriate file.
- Schedules Blocks and releases blocks as assigned.
- Reviews orders to ensure all ordered exams are scheduled or are being scheduled.
- Call patients when requested.
· Initiates, follows-up to procedures and diagnostic studies.
· Informs patient of inaccuracies regarding insurance cards, numbers, and eligibility.
· Requests new or accurate insurance information from patients.
· Scans and saves all patient paperwork into the patient’s chart for future reference.
· Assists with answering main phone line and transfers calls accordingly.
Specific Job Knowledge, Skill, and Ability
- Strong Communication both written and verbal
- Demonstrates a pleasant disposition, positive attitude, and possess the ability to maintain a cordial and professional approach
- Dependable
- Fosters and reinforces team based results.
- Anticipates and adapts to change (e.g. policy changes, operational/procedures, insurance changes, protocol changes) in a positive manner.
- Demonstrates ability to handle multiple tasks with short time-lines, prioritize and organize work and complete scheduling in a timely and accurate manner.
- Working knowledge of Medicare, AHCCCS, Workers' Compensation and other third party Insurance payors.
- Ability to interact and communicate effectively, tactfully, and diplomatically with patients, families, referring physician's staff, and internal customers.
Education and Experience
- High School Diploma or Equivalent required
- At least 1 year of medical experience required
- Radiology/Medical Industry, experience
- Prior customer service experience preferred
- Prior medical scheduling experience preferred
- Performs other duties as assigned by management.
Benefits:
- Dental insurance
- Health insurance
- Vision insurance
Experience:
- Medical Office Authorization 1 year (Preffered)
- Medical Office Scheduling: 1 year (Preferred)
- Radiology: 1 year (Preferred)