Northwell Health
Practice Office Associate - Authorizations Rep
Northwell Health, Garden City, New York, United States, 11599
Job Description:
Responsible for receiving incoming telephone calls in a prompt and courteous manner, greeting patients, verifying demographic/insurance, collecting co-payments/deductibles, and various clerical duties.
Job Responsibility:
* Promptly and professionally answers telephone calls, and if appropriate routes them appropriately. * Organizes messages and delivers them promptly to the necessary individual. * Greet patients and guests in a courteous and professional manner. * Verify insurance coverage and demographic information. * Obtain insurance referrals and authorizations. * Direct patients to appropriate waiting or clinical areas. * Explain financial obligation to patients or responsible parties and collect. copayments/co-insurance/deductibles as required. * Facilitate or create appointments for follow-up care, diagnostics procedures, physical therapy, or pain management. * Other duties as assigned by a manager or supervisor.
Job Qualification:
* High school diploma or general equivalency diploma (GED). * Minimum one year of relevant experience working in a medical facility or related field. * Minimum one year experience in customer service or reception, preferably in a health care environment.
Additional Details: Authorizations Representative
* Experience with radiology CPT codes, medical background, Insurance knowledge, preferred. * Previous insurance and authorization experience, preferred. * Initiates request for MRI Injection Authorization from commercial carriers. * Updates and records authorization related information in our system. * Perform clinical reviews of authorization requests. * Provides accurate and complete documentation to approve MRI Injections requests. * Collaborate with applicable staff to coordinate patient care. * Adheres to all HIPAA guidelines and regulation.
* Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Responsible for receiving incoming telephone calls in a prompt and courteous manner, greeting patients, verifying demographic/insurance, collecting co-payments/deductibles, and various clerical duties.
Job Responsibility:
* Promptly and professionally answers telephone calls, and if appropriate routes them appropriately. * Organizes messages and delivers them promptly to the necessary individual. * Greet patients and guests in a courteous and professional manner. * Verify insurance coverage and demographic information. * Obtain insurance referrals and authorizations. * Direct patients to appropriate waiting or clinical areas. * Explain financial obligation to patients or responsible parties and collect. copayments/co-insurance/deductibles as required. * Facilitate or create appointments for follow-up care, diagnostics procedures, physical therapy, or pain management. * Other duties as assigned by a manager or supervisor.
Job Qualification:
* High school diploma or general equivalency diploma (GED). * Minimum one year of relevant experience working in a medical facility or related field. * Minimum one year experience in customer service or reception, preferably in a health care environment.
Additional Details: Authorizations Representative
* Experience with radiology CPT codes, medical background, Insurance knowledge, preferred. * Previous insurance and authorization experience, preferred. * Initiates request for MRI Injection Authorization from commercial carriers. * Updates and records authorization related information in our system. * Perform clinical reviews of authorization requests. * Provides accurate and complete documentation to approve MRI Injections requests. * Collaborate with applicable staff to coordinate patient care. * Adheres to all HIPAA guidelines and regulation.
* Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).