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Northwell Health

Insurance Authorization Specialist - Temp

Northwell Health, Port Jefferson Station, New York, United States, 11776

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Insurance Authorization Specialist

Port Jefferson Station, NY

Schedule: Monday - Friday, 8am to 4pm

Temp

FlexStaff

is seeking a full-time

Insurance Authorization Specialist

for our client, a neurology practice in Suffolk County, NY .

This position is responsible for managing the insurance authorization process for medical procedures, specifically MRI services.

Responsibilities:

Review and obtain insurance authorizations for MRI procedures

Verify patient eligibility and coverage details with insurance providers

Communicate effectively with insurance companies to resolve any authorization issues or discrepancies that arise.

Regularly update clinical staff on the status of pre-authorizations and document approvals or denials in the EMR system.

Maintain accurate records

Stay informed of current insurance policies and guidelines to ensure compliance

Schedule peer-to-peer (P2P) reviews with providers to obtain necessary approvals.

Coordinate the submission of appeals for denied authorizations and provide necessary documentation as required.

Update the team on new clinical guidelines and changes to authorization processes.

Train new team members on authorization processes and procedures.

Assist with front desk duties and patient intake as needed.

Perform other duties as assigned

Requirements:

Knowledge of CPT and ICD-10 coding; familiarity with ICD-9 is a plus.

Minimum of 2 years of experience obtaining MRI authorizations

Strong understanding of medical terminology.

Excellent communication skills, both written and verbal

Proficiency in electronic medical record (EMR) systems and basic computer skills.

Familiarity with insurance policies, guidelines, and pre-authorization requirements.

Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.

Strong attention to detail and organizational skills.

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).