PreImaging Services Rep I

Overview WHO WE ARE AND WHAT WE DO: Established in 1963, Jefferson Radiology is the largest radiology practice group in Connecticut with ten imaging centers and affiliations with regional hospitals. Jefferson Radiology is an affiliate of Radiology Partners (RP). We collaborate with innovative minds on high-impact projects to transform radiology. Position Summary Hybrid Schedule - Hours between 7:30AM-6:00PM Responsible for timely and effective scheduling of patients for multiple offices and modalities Demonstrate an understanding of modalities offered at each location and hours of operation Modalities include Mammography, MRI, CT, Ultrasounds and more Comfortable with communication between patients, clinical offices, and physicians Knowledge of medical insurance and patient demographics preferred Obtains documents, verifies, and conducts follow-up on insurance authorizations and insurance eligibility as required for scheduled exams. Consults with supervisor on complex and/or difficult situations. Enters data accurately into system, applying CPT codes to match authorization for exam. Consults with Modality Protocol, Clinical Managers, or technologist, as needed to ensure accuracy and smooth workflow. Maintains CPT code authorization files based on managed care contracts. Performs clerical duties as needed. Contacts insurance companies to obtain prior authorization and predetermination for exams ordered by practice providers. Checks insurance eligibility to ensure that the information provided matches the insurance carrier’s database information. Prepares written communication to notify appropriate staff of authorization updates and/or changes for insurance carriers. Interacts with external customers to inform and educate regarding authorization procedures. Works collegially and professionally with all internal and external staff members and physicians. In cooperation with the Accounts Receivables unit, works insurance denials by researching, sending appeal letters, and making appropriate contact with insurance companies or billing staff. Performs quality assurance checks of scheduled and recently performed exams. Provides recommendations for policy and procedure changes to management to prevent or limit denials. Performs other related duties as assigned. Participates as a member of the practice. Consistently demonstrates and promotes practice values. Ensures a professional attitude and appearance at all times. Consistently demonstrates flexibility and good judgment. Consults with co-workers and supervisor, as necessary. Desired Professional Skills and Experience Experience with scheduling and/or medical billing application preferred Excellent dictation, communication skills, and telephone manner Knowledge of Radiologic modalities preferred Ability to work independently and multi-task Why Radiology Partners Competitive Benefits package - Eligibility starts the month after hire, with tiered options to choose from. Compensation Reviews, Career Growth Opportunities Generous PTO Plans and Paid Holidays Proudly Certified as a Great Place to Work for Five Consecutive Years For More Information For more information: Compensation The hourly range for this position is $19-$25. Final determinations may vary based on education, work experience, certifications, geographic location, etc. Radiology Partners offers competitive total rewards packages, including possible incentive and productivity programs, health & wellness coverage options, 401k benefits, and other benefits subject to eligibility requirements. Equal Opportunity and Notices Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment with equal access and equitable resources. We are united by our mission to transform radiology and have an important impact on the patients we serve and the healthcare system overall. Diversity is a key source of strength in building an inclusive practice culture. Our goal is to empower and engage every teammate to promote awareness, compassion and respect for differences. CCPA Notice: When you submit a job application or resume, you are providing the Practice with personal information categories used for evaluating candidacy (1) Personal Identifiers; and (2) Education and Employment History. Radiology Partners participates in E-verify. Beware of Fraudulent Messages: Radiology Partners will never request payment, banking or other financial information in exchange for interviews or as part of the hiring process. All interview-related communications should come from an email address ending in "@radpartners.com." If you suspect a fraudulent offer, please email View email address on click.appcast.io to notify our team. #J-18808-Ljbffr Radiology Partners