Authorization, Eligibility Representative

Job not on LinkedIn

🕒 June 4

🤠 Texas – Remote

🤠 Texas – Remote

💵 $21 - $25 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Radiology Partners

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2012

🤝 B2B

👥 B2C

B2B • B2C

Radiology Partners is a national radiology practice and healthcare services organization that partners with radiologists, radiology practices, hospitals, and health systems to deliver diagnostic imaging, clinical expertise, and patient care. Led by physicians, the company focuses on transforming radiology through innovation, collaboration, scale, and practice management while preserving local practice autonomy and providing clinical resources, education, and support for both clinicians and patients.

📋 Description

• Obtains documents, verifies, and conducts follow-up on insurance authorizations and insurance eligibility as required for scheduled exams. • Consults with supervisor on complex and/or difficult situations. • Enters data accurately into system, applying CPT codes to match authorization for exam. • Consults with Modality Protocol, Clinical Managers, or technologist, as needed to ensure accuracy and smooth workflow. • Contacts insurance companies to obtain prior authorization and predetermination for exams ordered by practice providers. • Checks insurance eligibility to ensure that the information provided matches the insurance carrier’s database information. • Prepares written communication to notify appropriate staff of authorization updates and/or changes for insurance carriers. • In support of marketing efforts to enhance relationships with referring physician offices, interacts with external customers to inform and educate regarding authorization procedures. • Works collegially and professionally with all internal and external staff members and physicians.

🎯 Requirements

• High school diploma or equivalent • Post-secondary education preferred • Experience with Radiology Information System (RIS) preferred • Excellent diction and communication skills • Excellent telephone manner • Excellent customer service and interpersonal skills • Strong attention to detail, organizational, and problem-solving skills.

🏖️ Benefits

• Health and wellness coverage options • 401(k) with employer offerings • Paid time off and paid holidays • Incentive and productivity programs (where eligible) • Family planning and telehealth benefits (All benefits subject to eligibility requirements.)