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Position Details

Schedule/Shift:
Day/1st Shift
Employment Type:
Part-time (0-29 hrs/week)/PARTTIME
Location City:
West Hartford
Location State:
CT
Work Location Type:
On-site

PRACTICE OVERVIEW 

Jefferson Radiology, a Radiology Partners Practice, is a multi-state, comprehensive outpatient imaging network offering access to hundreds of board-certified, sub-specialized radiologists. We provide leading comprehensive, convenient, state-of-the-art diagnostic imaging care. Our goal is to provide high-quality, low-cost diagnostic imaging studies close to where our patients live and work. From our sub-specialized radiologists to our registered technologists and professional clinic staff, our commitment to accuracy and the patient's experience is not just an expectation, it is our mission. Together with Radiology Partners, our mission is To Transform Radiology.  

 

POSITION SUMMARY 

JEfferson Radiology is seeking an Eligibility Specialist who will work to ensure insurance verification and authorization is obtained for medical services. This position requires in-depth knowledge of billing, collections, insurance verification and pre-cert experience. 

 

POSITION DUTIES AND RESPONSIBILITIES 

  • Responsible for entire pipeline of charge capture activities 

  • Verifies insurance eligibility and benefits of patients in an accurate and timely manner 

  • Documents patient’s copay, deductible, and / or co-insurance 

  • Responsible for driving process improvement initiatives related to front end revenue cycle functions, in collaboration with the operations leadership and divisional managers 

  • Responsible for improvements in operations of patient business services, insurance verification, and authorizations 

  • Work with managers of staff accountable for charge capture, coding, charge entry, insurance follow up, reimbursement analysis, or other financial functions 

  • Work claim denials and appeals 

  • Other duties may be assigned 

 

DESIRED PROFESSIONAL SKILLS AND EXPERIENCE 

  • High School or equivalent preferred 

  • Minimum 5 years of experience in healthcare billing, AR, eligibility, and pre-certs preferred 

  • Background with eClinicalWorks Practice Management System Preferred 

  • Excellent problem-solving skills 

  • Self-driven 

  • Ability to work independently 

  • Ability to work in a fast-paced, high productivity environment 

  • Ability to exercise judgement and make decisions 

  • Excellent communication skills to communicate with patients, physicians, clients, coworkers, and management staff 

  • Ability to document accurately and concisely 

  • Excellent phone and computer skills 

  • Ability to maintain sensitive information in confidence 

  • Ability to meet deadlines and prioritize diverse projects 

  • HIPAA and OSHA knowledge 

  • Strong organizational skills 

 

Radiology Partners is an equal-opportunity employer. RP is committed to being an inclusive, safe, and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion, and a healthy respect for differences.  

 

CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.  

 

Radiology Partners participates in E-Verify.