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Authorization Specialist Medical Assistant MA - High Tech Radiology
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- POSITION DESCRIPTION: Responsible for reviewing, submitting, monitoring and responding to issues regarding medical necessity prior authorizations for high tech radiology services, procedures and/or DME (Durable Medical Equipment) for IHA patients in multiple offices.
- ESSENTIAL JOB FUNCTIONS Responsible for reviewing, submitting, monitoring and responding to issues regarding prior authorizations for high tech radiology services, procedures, and/or DME. Professionally communicates (oral or written) with the ordering provider for next steps, practice support staff and representatives of insurance companies.
- Performs data collection and data review assignments as required.
- CREDENTIALS/LICENSURE: Certification as a Medical Assistant through one of the following certifying agencies: American Association of Medical Assistants (CMA) American Medical Technologists (RMA) National Center for Competency Testing (NCMA) National Healthcareer Association (CCMA) National Association of Health Professionals (NRCMA) American Medical Certification Association (CMAC) OR LPN: Valid, unrestricted LPN license in the State of Michigan.
- MINIMUM EXPERIENCE: 1-3 years’ previous clinical experience; 3 to 5 years’ experience with insurance referrals, prior authorization or other relevant medical office experience.
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