Radiology Authorization Representative from System One

System One is searching for an Authorization Representative with experience in radiology authorizations for a mid-sized specialty clinic in Tulsa, OK. In this role, you will be responsible for insurance verification and eligibility, assessment of patient financial requirements, and counseling patients on insurance benefits and co-payments. The ideal employee values teamwork, has strong communication skills, and has excellent customer service skills.

Duties and Responsibilities:

• Ensures all insurance, demographics, and eligibility information obtained is communicated to staff as needed and entered into the system timely and accurately.
• Performs insurance verification and benefits using electronic billing system, online portals, and direct dial to insurance carriers.
• Performs insurance verification and benefit requirements on all applicable services.
• Obtains initial and subsequent preauthorization as required by insurance and enters in the practice management system as needed for flow to billing in addition to scanning hard copy of referral into chart.
• Ensures appropriate signatures are obtained from patients and/or physicians on all necessary forms.
• Communicates authorization status where applicable to ordering physician, clinical staff and patient.
• Utilizes the Summary of Patient Reimbursement and Liability form and Waivers as necessary.
• Performs financial counseling process with all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements.
• Documents costs, benefits, and all other steps within the orders as dictated by modality.
• Assists patients in obtaining financial assistance (i.e. Medicaid, drug replacement), outside assistance (i.e. transportation or other community services), and completing all appropriate forms as needed.
• Collect co-pays, deductible and other out-of-pocket amounts by phone or face-to-face as needed.
• Communication with account representatives or business office as necessary to review unpaid claims or denials for services. 

• High School Diploma or equivalent required.
• Minimum of three years of medical business office experience with insurance procedures and patient interaction.
• Experience in using practice management system.
• Experience in electronic medical records.
• Planning and organization.
• Information collecting and monitoring.
• Attention to detail and accuracy.
• Demonstrates an understanding for patient confidentiality.