Skip to content
  • Job Detail

Position Details

Schedule/Shift:
Weekend
Employment Type:
Full-time (30+ hrs/week)/FULLTIME
Location City:
Bloomfield
Location State:
CT
Work Location Type:
Hybrid

PRACTICE OVERVIEW  

Desert Radiology is committed to serving patients with prompt, quality healthcare. Founded in 1966, Desert Radiology has grown with the Southern Nevada community to become the area’s chief resource for the highest quality diagnostic care. Our staff of radiologists, technical and support teammates promote a reassuring environment that relieves concerns and results in the best possible experience for our patients. Desert Radiology works closely with local area hospitals to deliver leading-edge diagnostic and interventional imaging. We are proud to partner with numerous Nevada hospitals. It is the combination of compassion, expertise and a commitment to providing the latest imaging technology that makes Desert Radiology the premier choice for outpatient imaging procedures.  

 

POSITION SUMMARY  

Premier is seeking an Authorization and Eligibility Representative 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-certification experience. 

 

POSITION DUTIES AND RESPONSIBILITIES  

  • Incoming and outgoing phone calls from patients, doctor offices, and insurance companies maintaining a high level of customer and client service   

  • Follow the work que/schedule daily to ensure that all required exams have the appropriate authorization for payment of the scheduled exam(s)  

  • Work que must be worked 3+ days prior to any scheduled appointments (for insurance eligibility and benefits) accounting for weekends and holidays to allow adequate time to receive authorization before the day of service  

  • Accurate and timely documentation of all work research, communications, copay, deductible, and / or co-insurance on each individual patient accounts and other applicable programs  

  • Follow all practice policies regarding HIPAA, PHI, and compliance including protecting patient privacy in office   

  • 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 as assigned by manager  

  

DESIRED PROFESSIONAL SKILLS AND EXPERIENCE   

  • High School Graduate or GED equivalent preferred  

  • Minimum 2 years experience in healthcare billing, AR, eligibility, and pre-certs preferred  

  • Medical CPT and ICD10 code knowledge a plus    

  • Knowledge of customer service concepts and company policies including safety, privacy and HIPAA regulations  

  • Background with eClinicalWorks Practice Management System Preferred  

  • Excellent problem-solving skills  

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

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

  • Ability to document accurately and concisely  

  • Ability to meet deadlines and prioritize diverse projects  

  • Strong organizational skills  

 

 

The hourly range for this position is $16.50. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. In addition to this range, Radiology Partners offers competitive total rewards packages, which include possible incentive and productivity programs, health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements). 

 

 

 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.