Prior Authorizations Specialist

Description:

X-Ray Associates of New Mexico is seeking a Revenue Qualification Specialist to join our Revenue Cycle team. This position is responsible for verifying insurance eligibility and benefits, obtaining prior authorizations, preparing patient estimates, and assisting patients with understanding their financial responsibility prior to scheduled imaging services.

Key Responsibilities:

• Verify insurance eligibility and benefits for scheduled patients.
• Obtain and document prior authorizations from insurance carriers.
• Prepare patient cost estimates and assist with payment arrangements.
• Update patient demographic and insurance information.
• Communicate with patients, referring providers, and insurance companies regarding authorization and benefit information.
• Support Revenue Cycle operations and special projects as assigned.

Requirements:

• High school diploma or equivalent.
• Minimum of two years of experience in insurance verification, prior authorizations, medical front office, or medical accounts receivable.
• Knowledge of medical insurance processing and medical terminology.
• Strong attention to detail, organizational skills, and customer service abilities.
• Ability to work effectively in a fast-paced environment and learn multiple software systems.

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