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OrthoAtlanta

Treats bone, joint and sports injuries

Insurance Authorization Specialist-Radiology

Clinical Support & Patient AdministrationPosted on Nov 9
Full-timeAtlanta, GA, USANo salary listed

About the Job

Requirements

  • A high school diploma or equivalent is required.
  • At least 5 years of experience in a healthcare setting is required; insurance authorization experience is preferred.
  • Strong knowledge of medical insurance plans, authorizations, and medical terminology is required.
  • Experience with electronic medical record systems is required; Epic is preferred.
  • The role requires the ability to multitask and maintain accuracy in a fast-paced environment.
  • The role requires the ability to work independently and collaboratively across departments.

Responsibilities

  • Contact insurance companies to verify pre-certification, pre-authorization, and medical necessity requirements for MRI procedures.
  • Enter insurance and referral details accurately into the electronic medical record.
  • Obtain cost estimates and communicate patients' financial responsibility before procedures.
  • Work with physicians and clinical staff to obtain documentation needed to support authorizations.
  • Use critical thinking to prevent insurance denials and maximize reimbursement.
  • Prioritize and manage incoming referrals and scheduling requests.
  • Serve as a resource for staff on insurance plans, authorizations, and procedural codes.
  • Provide clinic front-desk coverage as needed; on-site coverage may be sporadic and unplanned.

Desired Qualifications

  • Experience with insurance authorization is preferred.
  • Experience with Epic electronic medical record systems is preferred.

About the Company

OrthoAtlanta

Treats bone, joint and sports injuries

OrthoAtlanta treats bone, joint and muscle conditions for children and adults through orthopedic and sports medicine clinics. Its surgeons and rehabilitation specialists manage injuries and long-term problems, from fractures and arthritis to spine pain and joint replacement. Patients access consultations, diagnostic imaging, outpatient surgery and physical therapy through the practice, with treatment plans that include surgical and nonsurgical options. It bills health insurers and patients for medical care and accepts commercial insurance, Medicare and workers' compensation plans. OrthoAtlanta was founded in 2002 and is headquartered in Atlanta, Georgia.

Company size
501-1,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Atlanta, GA
Founded
2002

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