Radiology Pre-Certification Specialist
2 weeks ago
We are seeking a highly skilled Radiology Pre-Certification Specialist to join our team at Graves Gilbert Clinic. As a key member of our revenue cycle team, you will play a critical role in ensuring seamless patient care and efficient authorization processes.
Key Responsibilities- Review patient chart documentation to verify compliance with medical policy guidelines
- Prioritize and manage incoming certification and authorization requests with urgency
- Obtain authorization through payer websites or phone calls, and follow up on pending cases
- Maintain accurate and up-to-date payer files, including requirements for successful authorizations
- Initiate appeals for denied authorizations and respond to clinic inquiries regarding payer medical policy guidelines
- Verify accuracy of CPT and ICD-10 diagnoses in procedure orders and contact patients regarding authorization status
- Process referrals and submit medical records to insurance carriers to expedite prior authorization processes
- Develop and implement prior authorization workflows, policies, and procedures
- Ensure accuracy and completeness of information requested and supporting documents
- Manage correspondence with insurance companies, physicians, and patients as required
- RMA or CCMA certification highly preferred
- Minimum two years of medical pre-certification/prior authorization experience
- Minimum two years of experience in a medical/healthcare-related field
- Knowledge of procedure and authorizations and its impact on revenue cycle
- Understanding of medical policy guidelines among payers and ability to manage authorizations effectively
- Proficient use of CPT and ICD-10 codes
- Excellent computer skills, including Excel, Word, and Internet use
- Experience with Electronic Medical Record (E.M.R.)
- Detail-oriented with above-average organizational skills
- Ability to plan and prioritize to meet deadlines
- Excellent customer service skills, including telephone etiquette
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Radiology Pre-Certification Coordinator
7 days ago
Bowling Green, Kentucky, United States Graves Gilbert Clinic Full timeJob SummaryWe are seeking a highly skilled Pre-Certification and Authorization Specialist to join our team at Graves Gilbert Clinic. As a key member of our radiology department, you will be responsible for ensuring that patients meet medical policy guidelines and facilitating the authorization process for medical procedures.Key ResponsibilitiesReview chart...
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Radiology Specialist
3 weeks ago
Bowling Green, Kentucky, United States Assured Nursing Full timeJob OpportunityAssured Nursing is seeking a skilled Radiology Specialist to fill a contract position in Bowling Green, Kentucky.This is a 13-week assignment with a 40-hour workweek, requiring a 10-hour shift with days off. The ideal candidate will possess a current state license as a Radiology Specialist and have at least 2 years of recent experience in the...
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Radiology Specialist
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Bowling Green, Kentucky, United States Assured Nursing Full timeJob OpportunityAssured Nursing is seeking a skilled Radiology Specialist to fill a contract position in Bowling Green, Kentucky.This is a 13-week assignment with a 40-hour workweek, requiring 8 hours of evening shifts. The ideal candidate will possess a current state license as a Radiology Specialist and have at least 2 years of recent experience in the...
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Travel CT Technologist
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Radiology Technologist
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Radiology Specialist
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Radiology Imaging Specialist
1 month ago
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Radiology Imaging Specialist
3 weeks ago
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Radiology Imaging Specialist
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Interventional Radiologist
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Radiology Imaging Specialist
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Radiology Imaging Specialist
5 days ago
Bowling Green, Kentucky, United States Med Center Health Full timeJob SummaryWe are seeking a skilled Radiology Technologist to join our team at Med Center Health. As a Radiology Technologist, you will be responsible for performing a variety of radiology imaging procedures and carrying out patient safety protocols.Key ResponsibilitiesObtain patient history and diagnosis as applicable for exam ordered according to...
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Radiology Imaging Specialist
2 weeks ago
Bowling Green, Kentucky, United States Med Center Health Full timeJob SummaryWe are seeking a skilled Radiology Technologist to join our team at Med Center Health. As a key member of our imaging department, you will be responsible for performing a variety of radiology imaging procedures and ensuring patient safety protocols are followed.Key ResponsibilitiesObtain patient history and diagnosis as applicable for exam ordered...
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Travel CT Technologist
3 weeks ago
Bowling Green, Kentucky, United States Fusion Medical Staffing-Radiology Full timeJob Summary: Fusion Medical Staffing-Radiology is seeking a skilled Computed Tomography Technician to join our team for a 13-week assignment in a short-term acute care hospital setting.Job Responsibilities:Administer computed tomography scans to patients to produce high-quality diagnostic images.Operate and maintain computed tomography equipment, ensuring...
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Radiology Breast Specialist
1 week ago
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Radiology Breast Specialist
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3 weeks ago
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Traveling Radiology Technologist
4 weeks ago
Bowling Green, Kentucky, United States Triage Staffing LLC Full timeJob Opportunity with Triage Staffing LLCJob Title: Travel Mammography TechJob Type: ContractLocation: NationwideJob Description:We are seeking a skilled Radiology Technologist to join our team as a Mobile Mammography Specialist. As a Traveling Radiology Technologist, you will have the opportunity to work with various healthcare facilities across the country,...