Medical Authorization

2 months ago


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

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)



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