Pre-Authorization Specialist/TEMP

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 180 Board Certified radiologists with advanced U.S.-based training and expertise in all modalities and all subspecialty areas. In operation for more than 60 years, University Radiology staffs, manages and provides preliminary and final subspecialty interpretations and consultative support for hospitals, imaging centers and other medical facilities, and serves as the academic radiology faculty at Rutgers Robert Wood Johnson Medical School. Our physicians interpret over 2.1 million radiology procedures per year.

Responsibilities

University Radiology is looking for a TEMPORARY Full-Time Pre-Authorization Specialist for our East Brunswick, NJ Business Office

Monday-Friday 8:00am - 4:30pm

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.

Pay Range:

From $23/hr

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.

Temporary Full-Time