Imaging Prior Authorization Coordinator

2 weeks ago


Somerset, United States PRINCETON & RUTGERS NEUROLOGY P A Full time
Job Title: Imaging Prior Authorization Specialist

Princeton and Rutgers Neurology is seeking a highly organized and detail-oriented Imaging Prior Authorization Specialist to join our team.

Key Responsibilities:

  • Obtain and verify all necessary paperwork required by insurance companies to secure prior authorizations for imaging services.
  • Submit and follow up on prior authorizations with payers through electronic, telephonic, and/or fax communications.
  • Evaluate and escalate cases to peer-to-peer review, when necessary, in collaboration with designated clinical contacts.
  • Prioritize urgent cases to meet deadlines and ensure timely submission of authorizations.
  • Document all important information regarding verification, pre-certification, and upfront collections in the registration system.
  • Manage a workload of 40+ daily preauthorization submissions while maintaining high performance standards.
  • Communicate challenges and potential impacts to the management team and propose solutions.
  • Provide exceptional customer service to physician referral organizations, internal teams, and patients.

Qualifications:

  • Strong knowledge of CPT, ICD-9, and ICD-10 codes.
  • Excellent organizational and data interpretation skills.
  • Ability to problem-solve using good judgment, tact, and diplomacy.
  • Strong time management skills to maintain productivity in a high-stress environment.
  • Superior verbal and written communication skills.
  • Experience in a fast-paced, high call-volume setting.
  • Knowledge of insurance contracts, reimbursement processes, and insurance websites.
  • Ability to quickly and accurately learn new systems and processes.
  • Self-motivated with a desire for continuous improvement.
  • Team player who can also work independently.
  • Proficiency with computers and related software.

Benefits:

Princeton and Rutgers Neurology offers a comprehensive benefits program including medical, dental, and life insurance, 401k/pension, and profit-sharing plans, generous paid time off policy, and more.

We are an Equal Opportunity Employer, and all qualified applicants will receive consideration for employment.



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