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Clinic Authorizations Representative - North
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Full-time
- Verifies benefit coverage, eligibility for diagnostic study owned in Filemaker prior to testing date.
- Determines whether the patient’s insurance company required pre-authorization and obtains all authorizations, if applicable.
- Identifies, reviews, extracts, and provides clinical notes, durations and response to conservative treatment measures from patient’s visits to the insurance carrier in an effort to obtain a secure pre-authorization for the diagnostic studies.
- Ensures the nature and outcome of the contact with the insurance carrier of each diagnostic test request is documented in Filemaker, Athena to support claims billing and reimbursement of the diagnostic studies.
- 1-2 years experience in a medical environment with experience in medical insurance verification and pre-authorizations.
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