Full Job Description
Envision Radiology is looking for a Remote Prior Authorization Representative to join our team!
Welcome to Envision Radiology, where we are passionate about improving lives through unmistakable quality and spectacular service in every community we serve. Our culture starts with understanding why we exist and our vision is to revolutionize diagnostic imaging and be the best in the world. We are looking for someone who is just as passionate about our culture as they are about the work they are doing in the business.
In 2019, US News named Colorado Springs in the top three most desirable place to live in the United States. Colorado Springs continues to grow and is the perfect place to call home.
Connect with us and discover your unique path to a fulfilling and rewarding career with Envision Radiology!
The Prior Authorization Representative supports the Centralized Services Department by performing all tasks required to obtain referrals/authorizations and verifying patients’ insurance coverage under the direction of Centralized Services Supervisor.
Notifies insurance companies of services being rendered, and obtains any necessary authorizations, ensuring notification and verification is complete for each order.
Obtains and verifies any necessary additional demographic and/or billing information.
Assists in identifying authorization issues and ensures that insurance information has been accurately obtained.
Works daily queues according to department directives to ensure all payer-specific authorization requirements are met and authorizations successfully obtained while consistently meeting department productivity standards.
Provides quality customer service to all patients and customers through prompt and courteous professional communication.
Interfaces with provider’s offices and medical staff to ensure all necessary documentation is obtained for purposes of pursuing a successful authorization approval.
Documents accurately into the Electronic Medical Record (EMR) system all actions, interactions, and authorizations surrounding the insurance process for each patient.
Participates in peer-to-peer learning and development.
Other duties as assigned.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This position has no supervision responsibilities.
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to use hands and fingers to handle, feel or operate objects, tools or controls, and reach with hands and arms. The employee is frequently required to talk and hear.
No travel is expected for this position.
One plus year of experience in healthcare pre-authorizations
Familiarity with ICD-10 and CPT coding
Detail oriented, self-motivated, a problem solver and a team player
Ability to navigate multiple computer screens and browsers quickly and accurately
Ability to excel in a very fast-pace team environment
Ability to continuously “exceed” company and customer expectation
Strong communication skills & professional demeanor
Minimum of High School diploma or equivalent (GED) – continuing education preferred.
Additional Eligibility Qualifications
None required for this position.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Other duties may be assigned as needed by supervision.
OSHA Exposure Rating: 1
It is reasonably anticipated NO employees in this job classification will have occupational exposure to blood and other potentially infectious body fluids.
Envision Radiology is an equal opportunity employer (M/F/D/V). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law.
High School or better in General Education.