MG Insurance Verifier

Primary duties include verifying financial coverage and obtaining pre‑authorization for patient appointments for specified radiology exams. The role requires knowledge of a variety of imaging procedures to assist others in booking a wide range of exams. Additional related duties may be assigned. The employee performs in accordance with facility policies, follows ethical business conduct standards, and serves as a positive role model and team member. Employees also participate in facility committees, meetings, in‑services, and activities. Brown University Health employees are expected to role‑model the organization’s values of Compassion, Accountability, Respect, and Excellence. Employees demonstrate core Success Factors: Instill Trust and Value Differences, Patient and Community Focus, and Collaborate. Responsibilities Records all insurance benefit and certification information in the applicable computer system. Completes and distributes all paperwork required by insurance and imaging department. Gathers all necessary information from secretaries to obtain pre‑authorizations and pre‑certifications as stipulated by each individual health plan for diagnostic imaging services and communicates with scheduling when additional information is required. Interfaces daily with insurance carriers, individual insurance provider authorizers, medical groups, and scheduling coordinators to maximize efficiency. Follows company/department policies and procedures as well as compliance standards. Notifies management staff when problems arise. When providing scheduling services, maintains communication with ordering physicians and their secretaries to schedule patients for a variety of imaging procedures. Has knowledge regarding the appropriate exam preparation, appointment arrival time and contraindications. Able to communicate these instructions to both the scheduling secretaries and the patients that may call directly. Utilizes payer websites to determine eligibility and benefit determination to ensure radiology exams are covered and to prevent denials. Other duties as assigned. Qualifications Minimum of 2–4 years’ experience in a medical office setting. Medical terminology, ICD‑10 coding, and CPT procedure codes, and computer skills preferred. Excellent customer service and communication skills. Detailed knowledge of third‑party payer requirements for authorization to facilitate payment for imaging services. Ability to process multiple tasks in an ever‑changing environment and prioritize workload effectively. Must be able to function independently. Education High‑school diploma or equivalent required; associate degree or secretarial certificate preferred. Working Conditions The employee frequently sits, walks, stands, occasionally reaches, climbs, balances, stoops, kneels, crouches, or crawls; must talk or hear. May be exposed to patient conditions including infectious diseases, blood, and bodily fluids. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Pay Range: $19.03 – $31.39 per hour Location: 535 Faunce Corner Road North Dartmouth, Massachusetts 02747 Work Type: M‑F 8:30 am – 5:00 pm Work Shift: Day Daily Hours: 8 hours Driving Required: No Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. #J-18808-Ljbffr Lifespan