Insurance Authorization Specialist - Temp

Insurance Authorization Specialist

Port Jefferson Station, NY

Schedule: Monday - Friday, 8am to 4pm

Temp

FlexStaff is seeking a full-time Insurance Authorization Specialist for our client, a neurology practice in Suffolk County, NY.

This position is responsible for managing the insurance authorization process for medical procedures, specifically MRI services.

Responsibilities:

• Review and obtain insurance authorizations for MRI procedures

• Verify patient eligibility and coverage details with insurance providers

• Communicate effectively with insurance companies to resolve any authorization issues or discrepancies that arise.

• Regularly update clinical staff on the status of pre-authorizations and document approvals or denials in the EMR system.

• Maintain accurate records

• Stay informed of current insurance policies and guidelines to ensure compliance

• Schedule peer-to-peer (P2P) reviews with providers to obtain necessary approvals.

• Coordinate the submission of appeals for denied authorizations and provide necessary documentation as required.

• Update the team on new clinical guidelines and changes to authorization processes.

• Train new team members on authorization processes and procedures.

• Assist with front desk duties and patient intake as needed.

• Perform other duties as assigned

Requirements:

• Knowledge of CPT and ICD-10 coding; familiarity with ICD-9 is a plus.

• Minimum of 2 years of experience obtaining MRI authorizations

• Strong understanding of medical terminology.

• Excellent communication skills, both written and verbal

• Proficiency in electronic medical record (EMR) systems and basic computer skills.

• Familiarity with insurance policies, guidelines, and pre-authorization requirements.

• Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.

• Strong attention to detail and organizational skills.