Headquartered in Phoenix, IMS Care Center is a team of employees, and a physician-led organization united through its providers' commitment to high-quality innovative health care. Each day is a new day for ground-breaking ideas and unparalleled opportunity. Ours is a culture focused on what we can accomplish today, and where it can lead us tomorrow.
IMS Care Center is searching for a professional, compassionate and knowledgeable individual to fill the position Authorization Supervisor in our Cardiology Department. The Authorization Supervisor will be responsible for a variety of administrative tasks including submitting authorization requests for procedures, answering phones, scheduling, outgoing referral management, and coordinating with the patient to make sure they make their appointments The Authorization Supervisor will also be responsible for supervising the Referrals/Authorization staff and maintaining high standards of accuracy. Instill the IMS mission, vision and values in the work performed.
Responsibilities:
- Submits authorization requests to insurance for ancillary services performed in the clinic
- Manages ancillary schedules to ensure all tests/procedures are approved to be performed before the patient arrives for testing
- Coordinates and manages physician clinic/procedure schedules with the RFA/Procedure schedulers
- Verifies demographics, referral, and insurance info of new patients, testing, and established patient
- Prep 7-14 days before verifying insurance/outstanding liabilities/medical documentation/informing patients of copay and deductibles
- Re-schedules appointments/tests/procedures if needed due to insurance
- Reviews and verifies patient coverage of insurance or other agencies and computes the charges to be paid by the patient
- Answer all incoming calls and resolve the issues or route calls to the appropriate staff
- Other referral and verification duties as needed for the smooth workflow and patient care
- Knowledgeable in insurance(s) and authorization processes
- Supervise the Referrals/Authorization staff to ensure referrals are processed accurately
- Identify opportunities to improve performance and workflows
- Implements eligibility verification as part of the referral/authorization process
- Maximizes usage of on-line tools for authorizations and to support other procedures and processes
- Ensures all pertinent information and tests are sent/uploaded to insurance carriers
- Follow through with pending referrals/Authorizations in a timely manner
- Takes accurate phone messages for referrals/authorization needs
- Answers internal messages sent to the referral/Authorization department in a timely manner
- Assists with new employee orientation and training as appropriate
- Completes mandatory in-services education
- Hours may vary and be outside of normal office hours
**Healthcare experience is required**
Education and Experience:
- Minimum 2-3 years’ experience processing referrals and/or insurance verification required
- At least 1 year of supervisor experience required
- Athena EMR preferred
- Previous experience with Athena system a plus
Required Knowledge, Skills and Abilities:
- Knowledge of ICD-10, CPT codes, and insurance carriers’ claim requirements
- Knowledge of insurance portals
- Excellent customer service
- Excellent oral and written communication skills
- Communicate professionally with physicians and office staff
- Strong organizational skills
- Attention to detail
- Computer skills using Microsoft Office software, scheduling software, and email applications
- Exhibit a courteous and professional manner when talking on the phone; answer phones promptly
- Ability to take initiative, work well with an established team
- Ability to work in a constant state of alertness and in a safe manner
- Ability to work with minimal oversight and supervision
- Ability to perform multiple tasks and prioritize workload
- Ability to plan, coordinate and organize front office tasks and workflow
- Ability to work in fast-paced environment
- Ability to maintain confidentiality of information
Benefits of Working with IMS:
- You can look forward to a generous compensation package including medical, dental, vision, short-term and long-term disability insurance, paid time off and a very lucrative 401K plan.
IMS is a tobacco-free work environment
IMS is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, disability status, sexual orientation, gender identity, age, protected veteran status or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions
Joining IMS is more than saying "yes" to making the world a healthier place. It's discovering a career that's challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. Our hope is that each day you'll uncover a new reason to love what you do. If this sounds like the workplace for you, apply now!
Required
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1 year of supervisor experience required
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Knowledge of ICD-10, CPT codes, and insurance carriers’ claim requirements
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Healthcare experience
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Minimum 2-3 years’ experience processing referrals and/or insurance verification required
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Preferred
Required
Preferred
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Bachelors or better in Health Administration
Preferred
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Team Player: Works well as a member of a group
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Leader: Inspires teammates to follow them
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Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
