Prior Authorization Representative

This is a remote position.

• Verify the correct authorization form if applicable and plan to submit authorization through.
  
• Gather all necessary information from doctor s offices to complete authorization.
  
• Responsible for the submission of authorization to the insurance plan.
  
• Responsible for all followup phone calls to the insurance company or doctor s office for status of authorization or to request for additional information.
  
• Process and reverse online authorization cases as required.
  
• Responsible for maintaining required spreadsheets as necessary.
  
• Responsible for all documentation of authorization and status.
  
• Update Sales Staff with pertinent information as necessary.
  
• Meet benefit investigation process standards by completing assigned worklist tasks in a timely manner.
  
• Reporting to management when assistance is needed to complete the task.
  
• Participate in team meetings by sharing the details of cases worked.
  
• Able to work 7:00 AM through 6:00 PM shifts.
  

• Perform other duties assigned by manager/ supervisor/ lead.
  

• High school graduate with a minimum of oneyear prior authorization experience preferred.
  
• Proven ability to work in a fastpaced environment.
  
• Excellent computer skills.
  
• Proficient in Microsoft Word and Excel.
  
• Knowledge of medical terminology and diagnosis codes associated with radiology patients and practices.
  
• Must be able to review medical histories and chart notes to garner required authorization information.
  
• Excellent written and verbal communication skills.
  
• Must be able to communicate with internal representatives insurance companies and prescribe office personnel as appropriate to facilitate obtaining prior authorizations.
  
• Must be able to work both independently and collaboratively based on daily workload/demands.
  
• Must maintain a professional demeanor while interfacing with patients customers and insurance plans.
  
• Ability to adhere to C.A.R.T. principles: Competence Accountability Respect Trust.
  

• High school Diploma or Equivalency
  
• One year of medical insurance verification benefits and eligibility experience.
  
• One year of previous experience in medical billing and authorizations.
  

EXPECTED PROFESSIONAL COMPETENCIES

• Critical Thinking
  
• Ability to Identify Problems
  
• Gather evidence through research
  
• Evaluate options & derive conclusions
  
• Follow Through/DetailOriented
  
• Executing through completion
  
• Follow detailed instructions
  
• Apply what others have developed
  

Reports to the Manager of Prior Authorizations

Job Type

Fulltime Remote

Education

• High school or equivalent
  

This job is ideal for someone who is:

• Dependable more reliable than spontaneous
  
• Peopleoriented enjoys interacting with people and working on group projects
  
• Adaptable/flexible enjoys doing work that requires frequent shifts in direction
  
• Detailoriented would rather focus on the details of work than the bigger picture
  
• Achievementoriented enjoys taking on challenges even if they might fail
  
• Innovative prefers working in unconventional ways or on tasks that require creativity
  

Why Consider Joining Our Team

• Work/Life Balance and Remote Opportunities
  
• Full Time Positions are Benefit Eligible
  
• Benefits include Medical Dental Vision PTO and 401k
  
• Supportive Team and Management
  
• Career Growth and Advancement Opportunities
  

Precision Imaging Centers is growing rapidly. We are adding new positions as we expand. Come grow your career with us!

Thank you for considering a career with Precision Imaging Centers!

Requirements

• High school Diploma or Equivalency
  
• One year of medical insurance verification benefits and eligibility experience.
  
• One year of previous experience in medical billing and authorizations.
  

Benefits

• Work/Life Balance and Remote Opportunities
  
• Full Time Positions are Benefit Eligible
  
• Benefits include Medical Dental Vision PTO and 401k
  
• Supportive Team and Management
  
• Career Growth and Advancement Opportunities