Medical Insurance Specialist

3 weeks ago


Lakeland, Florida, United States RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND Full time
Job Description

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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