University Radiology
Pre-Authorization Specialist - Temporary
University Radiology, East Brunswick, New Jersey, us, 08816
Overview
Sign-on Bonus Now Being Offered to Eligible New Hires!**
University Radiology, the largest provider of subspecialty radiology and teleradiology services in NJ, is comprised of over 140 Board Certified radiologists with advanced U.S.-based training and expertise in all modalities and all subspecialty areas. Our focus is on providing the highest quality subspecialty diagnostic care for our patients, referring physicians, hospitals and our healthcare clients. The more subspecialists driving this focus, the better the quality of care.
In operation for more than 50 years, University Radiology staffs, manages and provides preliminary and final subspecialty interpretations and consultative support for 10 affiliated regional healthcare centers and for our own 24 medical imaging centers. In addition, University Radiology serves as the academic radiology faculty at Rutgers Robert Wood Johnson Medical School. Our physicians interpret over 1.8 million radiology procedures per year providing 24/7/365 coverage/interpretation services.
UNDER THE DIRECTION of the Pre-Authorization Manager or their designee this position is responsible for obtaining pre-authorizations for radiology orders and/or appointments at all University Radiology sites from in-house and outside referrers.
Monday - Friday 8:00am - 4:30pm
Responsibilities
Responsible for obtaining required paperwork necessary to meet each insurance company's requirements, and verifying the accuracy of the paperwork before and after submission Request, follow up and secure prior-authorizations prior to services being performed. Contact payer to obtain prior authorization. If needed, gather additional clinical and or coding information, as necessary, in order to obtain prior authorization Successfully works with payers via electronic/telephonic and/or fax communications Collaborates with designated clinical contacts regarding orders that require escalation to peer-to-peer review Appropriately prioritizes workload to ensure the most urgent cases are handled in a timely manner. Utilize registration system notes to document important information related to verification, pre-cert, and upfront collection Meet/exceed performance standards/productivity of 40 - 45 daily preauthorization submissions Communicate all challenges, potential impact the challenge may have on the department and possible solution(s) to the management team Provide excellent customer service to Physician Referral Organizations, internal team members and patients Qualifications
A Knowledge of CPT/ICD9/ICD10 Requires effective customer relation skills, ability to organize and interpret data Requires good judgment, tact, diplomacy, and ability to problem solve Good time management skills, avoiding unnecessary stress Must have excellent verbal and written communication skills Must be able to work in a high call volume and fast pace work environment Knowledge of all insurance contracts & reimbursement Knowledge of Insurance Websites Ability to learn quickly and accurately Must work independently but also able to work effectively in a team environment Must be self-motivated - showing interest to self-improve Effective at meetings - providing feedback, ideas and suggestions to improve daily work flows Excellent computer skills
Benefits
University Radiology offers a comprehensive benefits program including medical, dental and life insurance, 401k/pension, and profit-sharing plans, generous paid time off policy and more.
Join our growing team!
University Radiology is an Equal Opportunity Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.
Sign-on Bonus Now Being Offered to Eligible New Hires!**
University Radiology, the largest provider of subspecialty radiology and teleradiology services in NJ, is comprised of over 140 Board Certified radiologists with advanced U.S.-based training and expertise in all modalities and all subspecialty areas. Our focus is on providing the highest quality subspecialty diagnostic care for our patients, referring physicians, hospitals and our healthcare clients. The more subspecialists driving this focus, the better the quality of care.
In operation for more than 50 years, University Radiology staffs, manages and provides preliminary and final subspecialty interpretations and consultative support for 10 affiliated regional healthcare centers and for our own 24 medical imaging centers. In addition, University Radiology serves as the academic radiology faculty at Rutgers Robert Wood Johnson Medical School. Our physicians interpret over 1.8 million radiology procedures per year providing 24/7/365 coverage/interpretation services.
UNDER THE DIRECTION of the Pre-Authorization Manager or their designee this position is responsible for obtaining pre-authorizations for radiology orders and/or appointments at all University Radiology sites from in-house and outside referrers.
Monday - Friday 8:00am - 4:30pm
Responsibilities
Responsible for obtaining required paperwork necessary to meet each insurance company's requirements, and verifying the accuracy of the paperwork before and after submission Request, follow up and secure prior-authorizations prior to services being performed. Contact payer to obtain prior authorization. If needed, gather additional clinical and or coding information, as necessary, in order to obtain prior authorization Successfully works with payers via electronic/telephonic and/or fax communications Collaborates with designated clinical contacts regarding orders that require escalation to peer-to-peer review Appropriately prioritizes workload to ensure the most urgent cases are handled in a timely manner. Utilize registration system notes to document important information related to verification, pre-cert, and upfront collection Meet/exceed performance standards/productivity of 40 - 45 daily preauthorization submissions Communicate all challenges, potential impact the challenge may have on the department and possible solution(s) to the management team Provide excellent customer service to Physician Referral Organizations, internal team members and patients Qualifications
A Knowledge of CPT/ICD9/ICD10 Requires effective customer relation skills, ability to organize and interpret data Requires good judgment, tact, diplomacy, and ability to problem solve Good time management skills, avoiding unnecessary stress Must have excellent verbal and written communication skills Must be able to work in a high call volume and fast pace work environment Knowledge of all insurance contracts & reimbursement Knowledge of Insurance Websites Ability to learn quickly and accurately Must work independently but also able to work effectively in a team environment Must be self-motivated - showing interest to self-improve Effective at meetings - providing feedback, ideas and suggestions to improve daily work flows Excellent computer skills
Benefits
University Radiology offers a comprehensive benefits program including medical, dental and life insurance, 401k/pension, and profit-sharing plans, generous paid time off policy and more.
Join our growing team!
University Radiology is an Equal Opportunity Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.