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Authorization Specialist

2 months ago

Denver, United States Together Women's Health, LLC Full time

Overview:

The Women's Imaging Center, a proud partner of Together Women's Health, is expanding its medical team and seeking a dynamic full-time MRI Authorization Specialist. Located in the heart of Cherry Creek/Denver, our state-of-the-art facility at 3773 Cherry Creek North Dr, Suite 101, Denver, CO 80209 is dedicated to providing exceptional care to our patients.

Are you ready to step into a role where you'll make a meaningful impact every day? As an Authorization Specialist, you'll play a pivotal role in our practice, collaborating closely with our medical team and patients. Your primary responsibilities will include obtaining authorizations for procedures, surgeries, medications, and imaging studies, ensuring seamless coordination and communication between all stakeholders.

This is an in-person position at our Cherry Creek location.

Preference will be given to applicants with Athena EMR experience.

Responsibilities:

Key areas of responsibility:

The following duties and responsibilities generally reflect the expectations of this job but are not intended to be all inclusive.

  • Obtain authorizations for MRIs adhering to insurance requirements.
  • Verify eligibility and benefits for all procedure codes, ensuring accurate documentation.
  • Document work processes meticulously and coordinates paperwork efficiently.
  • Respond promptly to urgent/emergent situations with professionalism and compassion.
  • Demonstrate exceptional customer service to patients and their families.
  • Ensure efficient telephone communication and collaborate effectively within the authorizations department and across other departments.
  • Scheduling and rescheduling patients.
  • Being the main advocate for our patients when speaking directly with insurance companies on the phone as needed.
  • Collaborate with health-care providers to obtain prior authorizations for medical procedures, treatments, and services.
  • Review insurance requirements and guidelines to ensure accurate and timely submission of authorization requests.
  • Verify patient eligibility and benefits coverage for prescribed treatments and services.
  • Communicate effectively with insurance companies, health-care providers, and patients to facilitate the authorization process and resolve any issues or discrepancies.
  • Maintain thorough documentation of authorization requests, approvals, and denials.
  • Monitor authorization status and follow up as needed to expedite approvals and minimize delays in patient care.
  • Stay informed about changes in insurance policies, procedures, and regulations related to prior authorizations.
  • Perform other related duties as assigned.


Qualifications:

Required Knowledge, Skills, and Abilities:

  • Minimum 2 years of experience as an Authorization Specialist preferred.
  • MRI authorization experience with radiology background highly preferred.
  • Proficiency in medical terminology, ICD-10, and CPT coding.
  • Familiarity with contracted insurance plans and procedures.
  • Strong computer and phone skills.
  • Excellent organizational and interpersonal skills.
  • Ability to prioritize tasks and multitask effectively.
  • Must be organized
  • Must be able to work well under stressful conditions.
  • Must have excellent patient/customer care skills.

Physical Requirements

  • Ability to lift 2 to 20 pounds unassisted.
  • Regular sitting, standing, stooping, walking, stretching, and reaching.
  • Prolonged periods of desk work and computer usage.

What We Offer:

We value our team members and offer competitive compensation starting at $19-23/hr, based on experience. As a full-time employee, you'll have access to a comprehensive benefits package, including:

- Health Care Plan (medical, dental & vision)

- Retirement Plan with company match

- Life Insurance

- Paid Time Off

- Short-Term and Long-Term Disability coverage

Why Choose Together Womens Health (TWH)?

At Together Women's Health, we're more than just a network of OBGYN practiceswe're a community dedicated to improving the lives of our health-care partners and patients. With a commitment to our core values and a focus on fostering talent and growth, we offer a supportive environment where careers flourish.

Together Womens Health (TWH) is an equal opportunity employer. We celebrate diversity and are dedicated to creating an inclusive workplace for all employees.

Reasonable Accommodations

Applicants with disabilities may be entitled to reasonable accommodations under the Americans with Disabilities Act and applicable state or local laws. If you require accommodations to perform the essential functions of the position, please reach out to HR@togetherwomenshealth.com, providing details of your request and contact information.

Ready to join our team and make a difference? Apply today