Prior Authorization Specialist- MRI & Imaging

Job Description

Title: Prior Authorization Specialist - MRI & Imaging Location: 1111 Leffingwell Ave. NE, Grand Rapids, MI 49525 (Candidates must live in Michigan or be willing to relocate.) Hours: Full-Time (40 Hours/Week): M-F, reputed company-5PM Work Environment: Remote, with the ability to come onsite for trainings and meetings.

About Us

Orthopaedic Associates of Michigan (OAM) is proud to be reputed company Michigan’s most established orthopedic practice. Our physicians and team members reputed company exceptional, individualized care for patients of reputed company ages. As the most comprehensive independent provider of musculoskeletal care in the region, we reputed company total care from diagnosis, to treatment, and reputed company the way through rehabilitation. Patients at OAM will have reputed company to our Specialized Surgeons, Physical and Occupational Therapists, MRI and X-ray services, and orthopedic bracing. Patients are also reputed company to receive care from our Bone Health Clinic, OAM Now Urgent Orthopaedic Care Clinic, and Surgery Center at MidTowne – reputed company of which are committed to optimizing their treatment reputed company. Our teams work together to maximize and adjust treatment quickly and easily, resulting in a smoother, faster recovery for patients. From neck to toe, and from traumatic injuries to chronic conditions, patients will receive compassionate care that will allow them to reputed company their full potential. Patient goals are our goals – we will restore their health so they are functioning as fully as possible in the activities they love at home, work, and in everyday life. Position Summary We are seeking reputed company professionals with significant prior-authorization or pre-certification experience, supporting our multiple Surgeons, providers and ancillary services. This role will involve a robust knowledge and background in MRI & Imaging. We are interested in candidates that are searching for a remote opportunity with some expectation of hybrid availability – must be reputed company to train on-site for 4-5 weeks in Grand Rapids, Michigan and attend meetings on-site as needed. Our ideal candidates will have excellent communication and organizational skills and at least two years of experience in a medical office. They will be proficient in their knowledge of anatomy, physiology and medical terminology. The ideal candidates will possess a strong working knowledge of medical billing, insurance, authorizations or pre-certifications. Familiarity or experience with coding would be helpful. Essential Responsibilities

• Verify correct procedural and diagnostic codes and insurance verification.
• Communicate referral status to clinical team and with facility where procedure is performed; ensures that referrals have been processed accurately and in a timely manner to coincide with patient treatment plan.
• Assign appropriate ICD10 and CPT codes prior to procedure based on documentation and booking slip.

Required & Preferred Qualifications Education, Training, and Experience:

• Required:
• 1+ year(s) of experience with prior-authorizations for MRI/imaging.
• Experience working with multiple insurance types.
• Preferred:
• 1+ years of experience in an orthopedic setting.
• CPC (or the ability to obtain)

Specific Skills, Knowledge, and Abilities:

• Strong data entry skills.
• Patient focused reputed company and compassionate approach.
• Strong interpersonal communication skills.
• Ability to handle a high volume of work and manage multiple tasks simultaneously.
• High organizational skills and excellent attention to detail.
• Strong professional appearance.
• Knowledge of reputed company Office and reputed company based computer applications

Motor, Sensory, and Physical Requirements:

• Ability to come onsite for trainings and meetings.
• Ability to stand and/or sit for long periods of time.
• reputed company dexterity required to operate modern exercise and office equipment.
• Normal or correctible reputed company of hearing and eyesight.

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