Authorization Coordinator I

Authorization Coordinator

Houston MRI® & Diagnostic Imaging is currently seeking an experienced Part-time onsite Authorization Coordinator to join our business office team, located at 16920 Park Row Houston, TX 77084.

Houston MRI® & Diagnostic Imaging has been providing excellent diagnostic imaging tests since 1997. Providing high quality exams in a comfortable and affordable Independent Diagnostic Testing Facility is our focus. We are owned and operated by physicians that specialize in diagnostic imaging (Radiologists). Come join us!

Job Summary

Responsible for the timely verification and obtaining authorization of medical insurance benefits, calling private insurance, Medicare, and Medicaid to obtain benefit information and pre-authorizations. Coordinate with sites the verification of patient eligibility, individual benefits, and authorization details.

Essential Job Function

• Properly schedule patients for diagnostic imaging procedures for multiple imaging centers and maintaining the imaging schedule.
• Fill cancellations and openings in schedule daily as needed and reschedule patients based on their medical and/or financial needs.
• Ensure accurate and detailed information in patient charts, including demographics of patients and Referring Providers into the RIS.
• Confirm with Referring Provider the specifics of the orders, diagnosis and any information needed for authorization.
• Process all documents received in the central Scheduling Department via fax, email, and phone.
• Answer multiple phones lines in a courteous and timely manner. Must have excellent phone etiquette and voice clarity.
• Provide the utmost professional interaction and communication with and between the patient/family, center staff, Referring Providers/staff and Radiologists.
• Ensure the timely, accurate and complete verification of medical insurance benefits specific to medical orders on a daily basis.
• Ensure accurate, detailed insurance verification, and out of pocket calculations for minor diagnostic exams.
• Communicate with Patient Coordinator to ensure out of pocket expenses are collected and reviewed with patient prior to services being performed.
• Ensure the timely, accurate initiation, and completion of authorization of medical insurance benefits specific to medical orders, including coordination of benefits, verification of eligibility, and out-of-pocket calculations for diagnostic exams.
• Must have the ability to explain insurance benefits and costs with patients.
• Must maintain clean and organized work area.
• Participate in meetings and complete other tasks as assigned by management.

• High School Diploma or equivalent with a minimum two (2) years of related procedural authorization work. Minimum 1-2 years of experience in Radiology Department or Imaging Center highly preferred.
• Knowledge of medical terminology and diagnostic radiological procedures in an outpatient setting.
• Proficient in the use of office computer systems including Microsoft Office and RIS.
• Ability to multi-task and remain detailed and organized.
• Extensive knowledge of different types of medical insurance coverage and policies including Medicare, Medicaid, HMO/PPO, and Tricare.
• Ability to communicate and respond to questions assisting patients, Medical Provider, and clinical staff in a professional manner.
• Bilingual English-Spanish preferred.
• Ability to hold all information concerning patients in strict confidence and abide by the Health Insurance Portability and Accountability Act (HIPAA) regulations.

Pay Range: $20 - $24 hourly