MRI Scheduler

3 weeks ago


Durham, United States EmergeOrtho Full time
Description

The Authorizations Specialist is responsible for obtaining and applying all required authorizations, enabling the appropriate compensation for medical claims. Confirms patients' insurance eligibility while obtaining authorization. The specialist acts as a liaison between referring physicians' offices, case managers, adjusters, and social workers to obtain required authorizations. Hours: 8:00am - 5:00pm Monday - Friday.

Requirements

Qualifications and Experience
  • High school diploma or equivalent
  • Previous experience in insurance billing and coding
  • Minimum two years of patient service experience in a healthcare setting
  • Ability to act with integrity, professionalism, and confidentiality
  • Experience using electronic medical records systems
  • Excellent communication and interpersonal skills
  • Excellent organizational skills and attention to detail

Responsibilities include, but are not limited to, the following
  • Obtains orders from the physician
  • Log all orders in EMR for accurate tracking and scheduling
  • Eligibility, benefits, and authorization are obtained online or via telephone
  • Respond to clinical requests by providing accurate information. Perform follow-up calls within 3 business days regarding the authorization status
  • If a peer-to-peer review is needed prior to obtaining authorization we will schedule with our physician and the insurance carrier's Medical Director
  • If the request is to have the patient be sent to an outside physician for treatment the office notes, patient demographics, and insurance card(s) are faxed to the outside physician's office for an appointment
  • Follow up on requests within 7-10 days to confirm accurate information has been received and confirm an appointment has been made
  • Work diagnostic orders within 3-5 days of receipt. STAT orders are worked on immediately
  • Obtain surgical authorizations 10 days prior to the surgery date unless the surgery is scheduled as a STAT
  • Maintain the electronic log sheet, generated for physical therapy patients indicating patient demographics and therapy caps
  • Maintains clinic and patient confidentiality.
  • Performs other duties as required and assigned by Manager, including schedule changes and travel to office locations as assigned.

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