Insurance Authorization Specialist

Insurance Authorization SpecialistDo you want to make a difference in the lives of those navigating serious medicalchallenges? Are you able to focus on details that matter so patients receive the timely carethey require? If you are looking for an opportunity to have an impact and not just looking fora job, then we would like to hear from you!If the above describes you, please read on!We are seeking an experienced Insurance Authorization Specialist who has a Can-doAttitude and an Eye for Detail to join our Authorization and Verifications team. This personwill be responsible for ensuring efficient and timely submissions of all necessaryAuthorizations; being the liaison between other teams; and providing excellent customerservice by using their knowledge of insurance authorizations and insurancerequirements/guidelines.Position is located in Hollywood, Florida.About UsPET Imaging Institute of South Florida’s, mission is to superbly care for patients byproviding the finest Positron Emission Tomography services available in Broward County.Our team of experienced, onsite Radiologists and nurturing staff come together incomfortable, spa-like environments that feature state-of-the-art medical equipment andextremely fast reporting of results so that patients can receive the right diagnosis quickly.Visit us: www.petimagingflorida.comIn this position, you will: Operate effectively across departments to enable uninterrupted cash flow from payers and patients Review orders for appropriate demographic and insurance information Review medical record encounters to decipher valid and appropriate ICD-10 diagnosis codes, request appropriate records from referring offices, as required - to meet coding compliance guidelinesProvide timely verification of insurance eligibility and benefits for patient services across all payors for each and every PET scan referralInitiate, manage, and follow authorization appeals to completionNotify patients of financial responsibility for services according to benefits, eligibility, and coverage Answer incoming calls and inquiries from patients and referring offices pertaining to benefits, eligibility, denial responses, and communicate any and all patient financial responsibilitiesWorking knowledge of appointment scheduling for appointment rescheduling due to denials pending Peer-to-Peer requests, and/or other appointment delays directly related to the authorizations processCorrect authorizations and verification information, when necessaryOur Ideal CandidateEducation/Requirements: High School diploma is required, College degree or working toward one is a plus 3 - 5 years extensive insurance verification and authorization experience required - in radiology and diagnostic imaging services is a plus Must successfully pass AHCA Level 2 screening - https://info.flclearinghouse.com Must be approved for EPIC access by MHS Must have flexibility to travel between all PIISF Centers and be willing to work at any one location for extended periods, as neededSkills and AbilitiesCan-do attitude with a willingness to work in a team environment Bilingual is required (English/Spanish) Sound analysis skills and good judgement Organized and focused Computer literate - working knowledge of EMR programs and Microsoft Office Suite Reliability Excellent organizational & time management skills Knowledge of medical terminology a plus Excellent written & oral communication skills What We Offer: Competitive salary - commensurate with experience Medical, dental and vision insurance401K eligible after 1st yearNO PHONE CALLS PLEASE