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Authorizations Representative Job at Imaging Healthcare Specialists

Imaging Healthcare Specialists San Diego, CA 92103

Imaging Healthcare Specialists is actively seeking experienced and professional Authorizations Representatives !

Locations with Position Openings: Hillcrest
Position Status Options: Per Diem and Full Time

Salary Range: $19 to $24

Candidates should have experience working in a high-volume medical environment and extensive customer service experience is a must!

Summary: Participate in the development of revenue and volumes by securing payment for services through verification of authorizations, eligibility, benefits and identifying the patient’s financial risk in advance of patient’s appointment consistent with established protocols.

Essential Responsibilities include the following. Other duties may be assigned.

  • Hands-on engagement in understanding and applying Lean.
  • Maintains an unrelenting focus on improvement and providing customer value.
  • Makes learning and practicing of Lean principals a daily priority.
  • Receive request for prior authorizations and ensure that they are properly and closely monitored.
  • Initiate prior Authorization request to carriers and/or primary care physicians.
  • Follow-up on authorization requests in a timely fashion.
  • Must calculate patient coverage prior to patient appointments according to department guidelines.
  • Maintain proper notation in practice management system such as patient coverage, benefits, and eligibility results.
  • Ability to meet minimum daily and monthly productivity and performance metrics
  • Analyze patients' abilities to pay to determine charges on a sliding scale.
  • Drive volume by securing reimbursement for pre and post services rendered through various insurance verification processes.
  • Communicates effectively to internal and external inquiries relating to insurance, benefits, or authorizations.
  • Other duties as assigned

Qualifications:

  • Proficient in MS Office and HER
  • 1-3 years of insurance experience

Why Should You Work For IHS?

  • Career Development and Growth Opportunities
    • Technologists trained to be Mammography, and CT Technologists
    • Lean Development (Enterprise Excellence)
    • Leadership Growth and Development Training
  • 4 Weeks of PTO
  • Yearly Compensation Reviews
  • Medical, Dental, Vison, HSA Contribution and 401k matching
  • Community Involvement

Our company is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations.




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