Pre-authorization Specialist - Imaging - PT

At Revere Health, we believe there is a better path to healing and healthcare maintenance, and we’re working on this mission—one patient at a time. We’re a national leader in a movement called value-base care which aims to improve treatment outcomes and keep costs down. Our internal culture is one that promotes respect and consistently recognizes the impact that individual employees have on the mission of the organization.

As the first Accountable Care Organization (ACO) accredited by Medicare in Utah, and the only Next Generation ACO in the state, Revere Health offers a unique, patient-oriented approach to healthcare. We strive to keep medical costs at a minimum while providing the utmost in quality healthcare.

Revere Health: Your Health Above All Else.

Position Summary: We are seeking a friendly, reliable, and detail-oriented individual to join our pre-authorization team. As a pre-authorization specialist, you will play a vital role in ensuring our patients receive timely care while making the most of their insurance benefits.

This position is ideal for someone who is able to work as part of a team, thrives in a busy environment, and takes pride in providing excellent customer service. Responsibilities include verifying insurance eligibility, requesting authorizations for imaging services when required, communicating with patients and imaging staff, accurately entering and maintaining patient information, and learning and navigating multiple computer systems.

Essential Job Functions:

• This position is responsible to contact the insurance carriers to determine the most efficient way to verify eligibility, pre-authorization requirements, covered services and determine the patient’s financial responsibilities.
• This information is documented online and coordinated with Revere Health staff, referring physician and/or patient.

Qualifications:

• Must have excellent customer service skills and be able to communicate professionally both in written and verbal form.
• 2+ years’ experience in medical office front desk and billing practices preferred.
• Knowledge of ICD-10 and CPT codes, familiarity with third party private payor practices, and pre-certification and authorization requirements.
• Must have general computer skills.
• Experience with electronic medical record (EMR) systems is a plus.
• Individual must have attention to detail, strong organizational skills and be able to follow through on all tasks.

Status: Part Time

Position: Pre Authorization Specialist - Imaging - FT

Department: Imaging

Location: Provo, American Fork, or Salem (remote option available)

Hours:

• Full time 20 hours/week.
• Flexible schedule.