Prior MRI Authorization Specialist

1 month ago

Shelton, United States Orthopaedic Specialty Group Full time
Job DescriptionJob Description

JOB SUMMARY: Responsible to obtain Prior Authorizations for MRI. Liaison for Patients, Clinical staff, Insurance carriers to facilitate authorizations for patient MRI procedures.


EDUCATIONAL REQUIREMENTS:

  • High school diploma required
  • Certified Professional Coding designation helpful
  • Medical terminology

QUALIFICATIONS AND EXPERIENCE:

  • Minimum 1-year experience working in a physician group practice
  • Knowledgeable of Anatomy & Physiology, and medical terminology
  • Current working knowledge in CPT and ICD-10 codes
  • Knowledge of Medicare/Medicaid, Workers Compensation and Commercial Insurance carrier clinical policies and reimbursement guidelines
  • Ability to perform multiple tasks simultaneously
  • Strong written and verbal communication skills
  • Neat, professional appearance

Responsibilities include, but are not limited to, the following:


  • Verify medical necessity guidelines for each carrier, based on Provider notes and CPT/ICD-10 codes for MRI procedures.
  • Complete Prior Authorization process for MRI procedures in a timely manner.
  • Document authorization and all pertinent information in the patient chart.

Other:


  • Maintain patient confidentiality; Comply with HIPAA and compliance guidelines established by the practice.
  • Maintain detailed knowledge of practice management, and other computer software, as it relates to job functions.
  • Attend regular staff meetings and continuing education sessions, as requested.

Typical Physical Demands:

Work may require sitting for long periods of time, and also stooping, bending and stretching for files and supplies. Employee will occasionally be asked to lift files or paper weighing up to 30 pounds. Position requires manual dexterity sufficient to operate a keyboard, operate a computer, telephone, copier, and such other office equipment as necessary. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. Position also requires viewing computer screens and typing for long periods of time.


OSG offers a pleasant professional work environment, competitive wages, and comprehensive benefits, including generous paid time off.


Orthopaedic Specialty Group, P.C., is an Equal Opportunity Employer


  • Prior Authorizations Specialist- Neurosurgery

    3 weeks ago

    Shelton, United States Hartford Healthcare Full time

    Work where every moment matters. Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. Hartford HealthCare Medical Group is one of the largest medical practices in New England...

  • Prior Auth Specialist

    1 week ago

    Shelton, United States The Vascular Experts Full time

    Job Title: Prior Authorization Specialist Reports To: Director Location(s): Shelton, CT ( Remote with 1 month training in Shelton) Pay Status: Full Time / Hourly Non-Exempt **Position Summary**: *** The incumbent is responsible for the review of requests for authorization of services and coordinates the timely completion of the authorization...

  • Authorization & Accnt Verification Specialist

    4 weeks ago

    Shelton, United States Advanced Radiology Consultants Full time

    Job DescriptionJob DescriptionJoin our Culture of Caring! Advanced Radiology is one of the largest independent radiology practices in the tri-state area with the most experienced radiologists. We look for team members who want to grow and be professionally challenged, while enjoying a rewarding, caring and friendly environment. Position Summary:The...

  • Authorization & Accnt Verification Specialist

    4 weeks ago

    Shelton, United States Advanced Radiology Consultants Full time

    Job DescriptionJob DescriptionJoin our Culture of Caring! Advanced Radiology is one of the largest independent radiology practices in the tri-state area with the most experienced radiologists. We look for team members who want to grow and be professionally challenged, while enjoying a rewarding, caring and friendly environment. Position Summary:The...

  • Software Support Specialist

    2 weeks ago

    Shelton, United States Saisystems Health Full time

    *This position reports to an office - no hybrid or remote options* **Responsibilities**: - Lead and manage a team of client support specialists to provide exceptional support to healthcare providers and administrators using our software. - Develop and implement client service protocols to ensure effective problem resolution and customer satisfaction. -...

  • Ehr Support Specialist

    2 weeks ago

    Shelton, United States Saisystems Health Full time

    **Responsibilities**: - Lead and manage a team of client support specialists to provide exceptional support to healthcare providers and administrators using our software. - Develop and implement client service protocols to ensure effective problem resolution and customer satisfaction. - Train team members on healthcare-specific regulations and compliance...

  • Software Support Specialist

    4 weeks ago

    Shelton, United States Saisystems Health Full time

    **Responsibilities**: - Lead and manage a team of client support specialists to provide exceptional support to healthcare providers and administrators using our software. - Develop and implement client service protocols to ensure effective problem resolution and customer satisfaction. - Train team members on healthcare-specific regulations and compliance...

  • Product Support Specialist

    4 weeks ago

    Shelton, United States Saisystems Health Full time

    **Responsibilities**: - Lead and manage a team of client support specialists to provide exceptional support to healthcare providers and administrators using our software. - Develop and implement client service protocols to ensure effective problem resolution and customer satisfaction. - Train team members on healthcare-specific regulations and compliance...

  • Environmental Scientist/Wetland Specialist

    1 month ago

    Shelton, United States Lighthouse Professional Services Full time

    Job DescriptionJob DescriptionLighthouse Professional Services a division of Staffing 360 Solutions group, is proud to be a “Best in Staffing 2023” award winner. We have over 50 years of experience placing people with small and global companies. Our offices in New York, Connecticut, and Massachusetts serve clients nationwide. We are currently seeking an...

  • Environmental Scientist/Wetland Specialist

    4 weeks ago

    Shelton, United States Lighthouse Professional Services Full time

    Job DescriptionJob DescriptionLighthouse Professional Services a division of Staffing 360 Solutions group, is proud to be a “Best in Staffing 2023” award winner. We have over 50 years of experience placing people with small and global companies. Our offices in New York, Connecticut, and Massachusetts serve clients nationwide. We are currently seeking an...

  • Environmental Scientist/Wetland Specialist

    4 weeks ago

    Shelton, United States Lighthouse Professional Services Full time

    Job DescriptionJob DescriptionLighthouse Professional Services a division of Staffing 360 Solutions group, is proud to be a “Best in Staffing 2023” award winner. We have over 50 years of experience placing people with small and global companies. Our offices in New York, Connecticut, and Massachusetts serve clients nationwide. We are currently seeking an...

  • Environmental Scientist/Wetland Specialist

    1 month ago

    Shelton, Connecticut, United States Staffing 360 Solutions Full time

    Lighthouse Professional Services a division of Staffing 360 Solutions group, is proud to be a "Best in Staffing 2023" award winner. We have over 50 years of experience placing people with small and global companies. Our offices in New York, Connecticut, and Massachusetts serve clients nationwide. We are currently seeking an Environmental Scientist –...

  • Environmental Scientist/Wetland Specialist

    4 weeks ago

    Shelton, Connecticut, United States Staffing 360 Solutions Full time

    Lighthouse Professional Services a division of Staffing 360 Solutions group, is proud to be a "Best in Staffing 2023" award winner. We have over 50 years of experience placing people with small and global companies. Our offices in New York, Connecticut, and Massachusetts serve clients nationwide. We are currently seeking an Environmental Scientist –...

  • Environmental Scientist/Wetland Specialist

    3 weeks ago

    Shelton, United States Lighthouse Professional Services Full time

    Job DescriptionJob DescriptionLighthouse Professional Services a division of Staffing 360 Solutions group, is proud to be a “Best in Staffing 2023” award winner. We have over 50 years of experience placing people with small and global companies. Our offices in New York, Connecticut, and Massachusetts serve clients nationwide. We are currently seeking an...

  • Environmental Scientist/Wetland Specialist

    1 day ago

    Shelton, United States Lighthouse Professional Services Full time

    Job DescriptionJob DescriptionLighthouse Professional Services a division of Staffing 360 Solutions group, is proud to be a “Best in Staffing 2023” award winner. We have over 50 years of experience placing people with small and global companies. Our offices in New York, Connecticut, and Massachusetts serve clients nationwide. We are currently seeking an...

  • Warehouse Inventory Specialist

    2 months ago

    Shelton, United States Tomra Full time

    Job DescriptionJob DescriptionCompany DescriptionTOMRA North America, is a top International Reverse Vending and Recycling Company.  At Tomra transformation is at the heart of everything we do. We transform ideas & technology to create intelligent and pioneering tools to support a sustainable future. TOMRA, an international recycling company is looking...

  • Warehouse Inventory Specialist

    4 weeks ago

    Shelton, United States Tomra Full time

    Job DescriptionJob DescriptionCompany DescriptionTOMRA North America, is a top International Reverse Vending and Recycling Company.  At Tomra transformation is at the heart of everything we do. We transform ideas & technology to create intelligent and pioneering tools to support a sustainable future. TOMRA, an international recycling company is looking...

  • Sr. Diagnostic Specialist

    1 month ago

    Shelton, United States Rivian Full time

    About Rivian Rivian is on a mission to keep the world adventurous forever. This goes for the emissions-free Electric Adventure Vehicles we build, and the curious, courageous souls we seek to attract. As a company, we constantly challenge what's possible, never simply accepting what has always been done. We reframe old problems, seek new solutions and operate...

  • Sr. Diagnostic Specialist

    4 weeks ago

    Shelton, United States Rivian Full time

    About Rivian Rivian is on a mission to keep the world adventurous forever. This goes for the emissions-free Electric Adventure Vehicles we build, and the curious, courageous souls we seek to attract. As a company, we constantly challenge what's possible, never simply accepting what has always been done. We reframe old problems, seek new solutions and operate...

  • Medical Assistant

    2 days ago

    Shelton, United States Hartford Healthcare Full time

    Work where every moment *matters. Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. Hartford HealthCare Medical Group is one of the largest medical practices in New England...