University Radiology Group, one of Central New Jersey's foremost imaging practices, is seeking a Full-time, Pre-Authorization Representative for our East Brunswick Business Office location. This is a full-time position (Monday through Friday from 9:30am-6pm). The responsibilities include:
* Work closely with referring physicians and payors to ensure authorization for the patients scheduled procedure (if required) is obtained prior to his/her appointment.
* Inform patient of instructions for the procedure, documentation required on the day of the exam, discuss financial responsibility, collect payment and set up payment plan.
* Document the patient’s electronic record with notes supporting conversation during call.
* Communicate all challenges, potential impact the challenge may have on the department and possible solution(s) to the management team.
Candidates must have experience with high call volume, the ability to review a minimum of 60 accounts daily, have an understanding of the Revenue Cycle and the impact Pre-registration has within the Cycle. Knowledge of CPT/ICD9/ICD10 and insurance contracts/reimbursement required. Strong organizational and communication skills. 1 years of insurance verification required.