MRI Authorization Coordinator

Description

Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Nashville and Middle Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system which allow our patients to live their best life. Ninety plus years later we are advancing the practice of orthopaedic surgery throughout the state.

There are a number of reasons why TOA is an employer of choice; here are a few of them:

• Stability - TOA has been in Middle Tennessee since 1926 and has expanded to nearly 20 locations!
• Impact - TOA's team members use our careers - whether in our clinics or our business office - to make a positive difference in the community by building relationships and helping patients live their best life.
• Work Environment - The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement.
• Total Rewards - TOA offers competitive salaries based on the current Middle Tennessee wage market, plus a comprehensive suite of benefits, including Medical, Dental, Paid Time Off, and more. Our 401(k) plan provides a company match, safe harbor match and profit sharing match to go along with your contributions.

Our MRI Authorization Coordinator performs all duties related to direct contact with insurance providers to obtain authorizations for MRIs, obtain retro-authorizations and file appeals. This role will also perform duties of Patient Services Specialist occasionally to provide seamless coverage throughout scheduled work day and during staffing shortages.

• Calls to get pre-certifications including faxing clinical notes and supportive documents and follow up
• Notifies physician and nurses of denials and peer to peer requests and performs follow up
• Obtains retro-authorizations and writes appeal letters as neededAssist in tracking monthly outsourced MRIs. (Excel spreadsheet)
• Works closely with MRI Technologists and Patient Access Specialists to maintain the MRI schedule
• Maintains strictest confidentiality following HIPAA guidelines
• Fills in for MRI Patient Access Specialists as needed
• Fills in at other MRI facilities as needed
• Assists MRI Director with other projects as needed
• Maintains strictest confidentiality following HIPAA guidelines

Requirements

Among the qualification and requirements for this role:

• Minimum 6 months related experience and/or training in a healthcare environment; or equivalent combination of education and experience.
• While a college degree is preferred, a high school diploma or general education degree (GED) is required

The successful candidate should possess:

• Exceptional customer service orientation and demonstrated capacity to work in a team
• Working knowledge of CPT and ICD9/ICD10 coding
• Working knowledge of insurance provider Imaging Guidelines
• Working knowledge of denials and appeals
• Must be able to multi-task
• Must be organized and responsible
• Knowledge of clinic cash policies and procedures
• Basic computer skills. (Excel experience a plus)
• Basic office clerical skills
• Simple math and calculator skills
• Customer relations skills
• Honesty
• History of dependability

TOA is an equal opportunity employer. TOA conducts drug screens and background checks on applicants who accept employment offers