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Radiology Authorization Specialist

4 months ago

Rancho Cordova, United States Dignity Health Full time

Overview Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers we provide increasing support and investment in the latest technologies finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled qualities that are vital to maintaining excellence in care and service. Mercy Imaging Centers a service of Dignity Health Medical Foundation provides cutting-edge diagnostic imaging services at 16 locations in the greater Sacramento and Woodland areas. Our team of 160 staff members work with our specialty trained and board certified radiologists to provide high quality care to our patients. The locations perform more than 175000 exams annually with the goal of providing top quality imaging compassionate care and timely service with a smile. Responsibilities The Pre-Authorization Radiology Specialist is generally assigned to multiple work areas within the Authorization Department as outlined in departmental expectations. With the primary assignment being to verify eligibility, obtain authorization for radiology exams/services by working with ordering physician's office staff, the applicable Medical Insurance Carriers, and the radiology clinics. In general, the Authorization Specialist is responsible to ensure proper Authorizations are obtained to corresponding CPT codes and ICD-10 codes, to ensure prompt payment from insurance carriers. Qualifications Minimum Qualifications: High School Diploma/GED Proficiency in health insurance eligibility and authorization requirements Knowledge of government program regulations, Medi-Cal, Medicare, MIA, C.C.S., and other third party payers Ability to problem solve; ability to analyze data and recommend changes Must have strong customer service skills Ability to work collaboratively with a culturally diverse staff and patient/family population Ability to work independently with minimum supervision Must have basic PC skills Medical Terminology - basic knowledge Excellent Oral/Written Communication - Articulate and concise oral communication Ability to write clearly and concisely Pay Range $21.70 - $29.84 /hour We are an equal opportunity/affirmative action employer.