Explore opportunities with Holston Medical Group, part of the Optum family of businesses. Holston Medical Group combines the personal feel of a community-based practice with the strength, resources, and career opportunities of a leading national health care organization.
This role is responsible for obtaining authorizations for procedures performed at the ODC and for medications prescribed by providers. The specialist works with internal and external offices to gather patient information, complete insurance requirements, and secure pre-authorizations for outpatient procedures and medications. The position also supports scheduling, task management, and other administrative duties as assigned.
Main responsibilities
- Coordinate and schedule patients’ procedures based on orders and authorization approvals.
- Verify patient eligibility and coverage using an online application or by telephone.
- Obtain precertification and preauthorization from insurance companies prior to diagnostic radiology procedures.
- Counsel patients regarding options when authorization is pending or denied, including financial obligations.
- Maintain accurate records of authorization requirements for exams and medications.
- Document insurance approvals, denials, and pending cases.
- Provide medication approval support through insurance companies.
- Communicate with patients, physicians, and staff to provide accurate and timely information.
- Perform cross-training, multitasking, and other duties as assigned.
Education and experience
- High school diploma or equivalent required.
- General understanding of radiology procedures for ODC.
- Familiarity with medical terminology, including CPT and ICD-9.
- Comfortable using computers and office equipment.
- Excellent communication and organizational skills.
- Ability to work in a team environment and collaborate with others.
Additional job expectations
- Maintain strict confidentiality related to personnel and patient PHI.
- Ability to manage frequent interruptions and shifting priorities.
- Able to perform duties requiring communication, documentation, and coordination with patients and staff.
Benefits and perks
- Competitive pay range of $16.00 to $22.50 per hour.
- Health, vision, dental, life, and disability insurance options.
- Health Savings Account.
- Group term life insurance.
- Deferred compensation and 401(k) retirement plan with company match.
- Employee discounts.
- Paid time off and sick time.
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
3 weeks ago