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At Banner Health, we understand that talented health care professionals appreciate having options. We are proud to offer our more than 50,000 employees many career and lifestyle choices throughout our network of facilities. The people of Banner Health are focused on delivering excellent care to our patients. In return, we are committed to excellence in personal development for all our employees.

The Authorization Rep is responsible for verifying eligibility, verification of covered benefits and obtain medical authorizations prior to the patient's scheduled appointment. You will need to monitor and resolve all prior authorization and benefit verification issues prior to the date of the scheduled exam. You will be required to learn the guidelines of the insurance companies assigned to you. We are in constant communication with the scheduling dept, medical offices, insurance companies and ordering Physicians so excellent customer services skills are a must. Knowledge of medical terminology, CPT and ICD-10 codes is helpful. Focusing on TOCA MRI Imaging, scheduling and Auths, but scheduling for Banner Imaging as needed.

Medical imaging plays a pivotal role in the delivery of excellent patient care at Banner Health. From detection and diagnosis to the treatment of illnesses and abnormalities, Banner Health's varied medical imaging and radiology services help physicians establish and execute individualized treatment plans. Our Imaging center is able to provide exceptional, consistent medical imaging exams with our dedicated staff who work together as a team to provide high-quality, comprehensive care while paying close attention to each patient's needs.

Shift- Mon-Fri 8:30a- 4:30p No weekends!!!!

Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.

Medical imaging plays a pivotal role in the delivery of excellent patient care at Banner Health. From detection and diagnosis to the treatment of illnesses and abnormalities, Banner Health's varied medical imaging and radiology services help physicians establish and execute individualized treatment plans. Medical Imaging professionals also enjoy access to: - State-of-the art technology - The latest in Picture Archival Communication System (PACS) technology - Relocation assistance - Tuition reimbursement - Continuing education programs - Career growth and promotion opportunities - Travel medical imaging technologist positions.

POSITION SUMMARY
This position is responsible for obtaining and processing all pertinent clinical information needed for the authorization of professional and medical services. The position responds to patient referrals and works insurance companies to pre-certify services based on the patient's benefit plan.

CORE FUNCTIONS
1. Responds to patient referrals for tests, procedures, and specialty visits. Obtains authorizations required by various payors; including verification of patient demographic information, codes, dates of service, and clinical data. Re-certifies services when necessary.

2. Authorizes and schedules appointments. Answers questions regarding the authorization process and supplies information to physicians, patients, and third party payers. May, depending on department/location, inform patients about necessary preparation for procedure or test.

3. Provides necessary information regarding authorization numbers and patient demographic information to appropriate staff, including billing. Provides information about the referral process to physician and staff and informs them of eligibility issues. Works with staff and patients regarding denials and appeals.

4. Documents and maintains records of all referral activity and authorizations.

5. Performs other related duties as assigned. This may include cross-coverage in other areas.

6. This position has frequent communications with patients, physicians, staff, and third party payers. The position must work with and understand the concepts of managed health care and be able to prioritize tasks within established guidelines with moderate supervision.


MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Must possess effective verbal and written communication skills.

Must be proficient with commonly used office software.

PREFERRED QUALIFICATIONS

One or more years of experience normally gained in a medical office or insurance environment. Previous knowledge of managed care concepts. Working knowledge of medical terminology and ICD9 and CPT codes.

Additional related education and/or experience preferred.