Practice Office Associate - SI Auth Rep

Company: Northwell Health
Location: Staten Island
Posted on: November 10, 2024

Job Description:

Job Responsibility:

• 
  
• Promptly and professionally answers telephone calls, and if appropriate routes them appropriately.
  
• Organizes messages and delivers them promptly to the necessary individual.
  
• Greet patients and guests in a courteous and professional manner.
  
• Verify insurance coverage and demographic information.
  
• Obtain insurance referrals and authorizations.
  
• Direct patients to appropriate waiting or clinical areas.
  
• Explain financial obligation to patients or responsible parties and collect. copayments/co-insurance/deductibles as required.
  
• Facilitate or create appointments for follow-up care, diagnostics procedures, physical therapy, or pain management.
  
• Other duties as assigned by a manager or supervisor.
  
  Job Qualification:
  
  • 
    
  • High school diploma or general equivalency diploma (GED).
    
  • Minimum one year of relevant experience working in a medical facility or related field.
    
  • Minimum one year experience in customer service or reception, preferably in a health care environment.
    
    Additional Details: Authorization Representative
    
    • 
      
    • Obtain authorizations for several departments and medical procedures.
      
    • Initiates request for MRI Injection Authorization from commercial carriers.
      
    • Updates and records authorization related information in our system.
      
    • Perform clinical reviews of authorization requests.
      
    • Provides accurate and complete documentation to approve MRI Injections requests.
      
    • Collaborate with applicable staff to coordinate patient care.
      
    • Adheres to all HIPAA guidelines and regulation.
      
      *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Keywords: Northwell Health, Wayne , Practice Office Associate - SI Auth Rep, Administration, Clerical , Staten Island, New Jersey