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Title

Pre-Authorization Specialist 

Division Outpatient Diagnostic Center of Alabama  
Location Outpatient Diagnostic Center - Athens  
Full-Time/Part-Time Full-Time  
Exempt/Non-Exempt Non-Exempt  
Description

Outpatient Diagnostic Center of Athens, an outpatient imaging center is looking for an energetic, conscientious, & detail-oriented Pre-authorization Specialist for our fast-paced office. This position is full-time Monday-Friday. Outpatient Diagnostic Center of Athens offers competitive pay and benefits. Excellent customer service is paramount.

Essential Functions:

  • Compiles and communicates accurate and pertinent clinical data and demographics to the patient's insurance company.
  • Keeps current on insurance regulations to obtain and record patient data; and maintain knowledge of system requirements.
  • Performs telephonic/fax/online review of admission/procedures to insurance carriers.
  • Follow-up with insurance carriers to obtain certification/authorization numbers for outpatient services.
  • Performs on-line data entry of certification/authorizations or denials and pre-authorization status.
  • Facilitates resolution of pre-authorization or referral issues for scheduled patients and same day add-ons to ensure payment from the insurance company on the patient’s behalf.
  • Creates payment arrangement forms for uninsured patients and effectively communicates payment requirements to patients.
  • Performs time of service processes and collections.
  • Maintains records, compiles data, and prepares reports.

 

Skills & Qualifications:

  • Previous medical office/imaging experience preferred
  • Computer skills and EPIC experience preferred
  • Team oriented, Self-motivated, and able to multi-task
  • Excellent communication skills, effective listener
  • HIPPA compliant

 

If qualified, and committed to quality care and exceptional customer service, please contact us for immediate consideration. Pre-employment drug & background screen required.

Outpatient Diagnostic Center of Athens is an equal opportunity employer.

Job Type: Full-time

 
Position Requirements

Minimum of 1 year experience in a medical office setting is required.
Knowledge of insurance claims, and medical terminology is preferred.
To be competitive, must have high school diploma or general education degree (GED).

 
Clinical Licenses & Certifications  
Travel Requirements  
EOE Statement OIA does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, OIA complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.  

This position is currently accepting applications.

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