Medical Insurance Specialist
3 weeks ago
At RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, we are seeking a highly skilled Medical Insurance Specialist to join our team.
Job Summary: The successful candidate will be responsible for verifying benefits and obtaining authorizations for all exams scheduled in a timely and efficient manner, while maintaining a high level of customer service.
Key Responsibilities:
- Obtain authorization/pre-certification for scheduled exams at assigned facilities.
- Effectively use task work lists and input insurance benefits and authorizations in the correct context and location.
- Maintain and update current insurance authorization requirements, distributing changes as needed.
- Respond to internal and external telephone calls to answer questions and resolve problems regarding insurance benefits, verifications, and/or authorizations.
- Communicate benefits and authorization/precertification problems to referring physicians, patients, and/or RIS facilities as needed.
- Schedule and reschedule patient appointments as required.
- Maintain patient confidentiality and comply with HIPAA guidelines.
- Perform related work as required.
Requirements:
- 2 or more years of experience in the Medical Insurance Field preferred.
- High school diploma or GED.
- Skills in establishing and maintaining effective working relationships with staff, patients, and referring physician offices, and the ability to work independently.
Physical Requirements:
- Prolonged sitting.
- Normal vision range with the absence of color blindness, normal hearing, and normal eye to hand coordination and manual dexterity.
- Lifting up to 25 pounds may be required.
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