Prior MRI Authorization Specialist (Shelton Office)Monday-Friday 8am-4:30p
Orthopaedic Specialty Group
- Shelton, CT
- $19.00-23.00 per hour
- Permanent
- Full-time
- High school diploma required
- Certified Professional Coding designation helpful
- Medical terminology
- Minimum 1-year experience working in a physician group practice
- Knowledgeable of Anatomy & Physiology, and medical terminology
- Current working knowledge in CPT and ICD-10 codes
- Knowledge of Medicare/Medicaid, Workers Compensation and Commercial Insurance carrier clinical policies and reimbursement guidelines
- Ability to perform multiple tasks simultaneously
- Strong written and verbal communication skills
- Neat, professional appearance
- Verify medical necessity guidelines for each carrier, based on Provider notes and CPT/ICD-10 codes for MRI procedures.
- Complete Prior Authorization process for MRI procedures in a timely manner.
- Document authorization and all pertinent information in the patient chart.
- Maintain patient confidentiality; Comply with HIPAA and compliance guidelines established by the practice.
- Maintain detailed knowledge of practice management, and other computer software, as it relates to job functions.
- Attend regular staff meetings and continuing education sessions, as requested.