LOCATIONS: 

OrthoSouth – CBO, Briarcrest, Kate Bond (as assigned) 

QUALIFICATIONS:

• Minimum 1 year of precertification experience/knowledge desired.
• Excellent organization skills.
• Desire to achieve personal goals as well as assist department in meeting/exceeding goals.
• Knowledge of advanced diagnostic coding and billing.
• Experience with various health insurance plans and knowledge of obtaining authorizations.
• Insurance eligibility and benefits experience desired with a knowledge of interpretation for internal purposes.
• Working knowledge of medical terminology.
• Ability to competently and accurately obtain and interpret patient information.
• Ability to handle multiple tasks as well as coordinate tasks with other team members.
• Required to meet company standards for HIPAA Compliance.
• Exceptional customer service and phone etiquette required with internal and external customers and patients both existing and potential.
• Experience with data entry, Microsoft Outlook and Excel required.
• Self-motivated and works independently achieving a high level of accuracy and productivity.
• Ability to work with a variety of personnel including physicians, medical assistants and other office staff to complete necessary tasks to meet/exceed goals while maintaining office protocol.
• Can communicate effectively and professionally with patients, physicians, insurance companies, and other staff.
• Ability to work on site at the Bartlett MRI, Briarcrest MRI or CBO location as assigned.

RESPONSIBILITIES:

• Obtain benefits and authorizations for Advanced Diagnostic testing, and complete detailed documentation of information within the company’s data systems.
• Contact patients to collect all required and/or necessary payments for testing, prior to/at the time of service.
• Scheduling of testing and follow-up appointments with the physician.
• Expected to maintain the required pre-certification guidelines.
• Data entry and scanning of documents as assigned.
• Monitor schedule and fill open times to maintain 100% schedule capacity.

Qualified applicants please contact: Laura Newcomb – Lnewcomb@orthosouth.org