Prior Authorizations Coordinator - Imaging at Optima Medical

<div data-ogsc="black"><strong data-ogsc="">About Optima Medical:</strong><br>Optima Medical is an Arizona-based medical group consisting of&nbsp;<strong>30</strong>&nbsp;locations and over&nbsp;<strong>130+</strong>&nbsp;medical providers, who care for more than&nbsp;<strong>200,000</strong>&nbsp;patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation’s top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.</div> <div data-ogsc="black">We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard. We are currently seeking a&nbsp;<strong data-ogsc=""><span class="markd1pi915em" data-markjs="true" data-ogac="" data-ogab="" data-ogsc="" data-ogsb="">Prior</span>&nbsp;<span class="markluyz5w479" data-markjs="true" data-ogac="" data-ogab="" data-ogsc="" data-ogsb="">Authorization</span>&nbsp;Coordinator</strong>&nbsp;to support our Imaging Department and help ensure timely, accurate approvals for diagnostic services across our network of clinics.</div> <div data-ogsc="black">&nbsp;</div> <div data-ogsc="black"><strong data-ogsc="">Responsibilities:</strong></div> <ul data-start="1330" data-end="2117"> <li data-ogsc="black"> <div data-ogsc="">Request, prepare, and submit all necessary documentation to obtain&nbsp;<span class="markd1pi915em" data-markjs="true" data-ogac="" data-ogab="" data-ogsc="" data-ogsb="">prior</span>&nbsp;<span class="markluyz5w479" data-markjs="true" data-ogac="" data-ogab="" data-ogsc="" data-ogsb="">authorization</span>s for imaging services such as CT, MRI, and Ultrasound.</div> </li> <li data-ogsc="black"> <div data-ogsc="">Ensure insurance carrier requirements are met to reduce denials and delays in imaging services.</div> </li> <li data-ogsc="black"> <div data-ogsc=""><span class="markd1pi915em" data-markjs="true" data-ogac="" data-ogab="" data-ogsc="" data-ogsb="">Prior</span>itize&nbsp;<span class="markluyz5w479" data-markjs="true" data-ogac="" data-ogab="" data-ogsc="" data-ogsb="">authorization</span>&nbsp;requests according to urgency and appointment timelines.</div> </li> <li data-ogsc="black"> <div data-ogsc="">Follow up with insurance companies to track the status of pending&nbsp;<span class="markluyz5w479" data-markjs="true" data-ogac="" data-ogab="" data-ogsc="" data-ogsb="">authorization</span>s.</div> </li> <li data-ogsc="black"> <div data-ogsc="">Submit appeals for denied imaging&nbsp;<span class="markluyz5w479" data-markjs="true" data-ogac="" data-ogab="" data-ogsc="" data-ogsb="">authorization</span>s with appropriate clinical justification.</div> </li> <li data-ogsc="black"> <div data-ogsc="">Communicate&nbsp;<span class="markluyz5w479" data-markjs="true" data-ogac="" data-ogab="" data-ogsc="" data-ogsb="">authorization</span>&nbsp;updates to clinic teams and patients in a timely and professional manner.</div> </li> <li data-ogsc="black"> <div data-ogsc="">Verify accuracy of CPT and ICD-10 coding in patient charts relevant to imaging studies.</div> </li> <li data-ogsc="black"> <div data-ogsc="">Document all activities in the electronic medical record (EMR) system in real-time.</div> </li> </ul> <div data-ogsc="black"><strong data-ogsc="">Qualifications:</strong></div> <ul data-start="2145" data-end="2859"> <li data-ogsc="black"> <div data-ogsc="">Minimum of 1 year experience working with imaging-related&nbsp;<span class="markd1pi915em" data-markjs="true" data-ogac="" data-ogab="" data-ogsc="" data-ogsb="">prior</span>&nbsp;<span class="markluyz5w479" data-markjs="true" data-ogac="" data-ogab="" data-ogsc="" data-ogsb="">authorization</span>s required.</div> </li> <li data-ogsc="black"> <div data-ogsc="">Strong knowledge of medical insurance carriers and imaging guidelines (commercial, Medicaid, and Medicare).</div> </li> <li data-ogsc="black"> <div data-ogsc="">Familiarity with CPT and ICD-10 codes specific to imaging procedures.</div> </li> <li data-ogsc="black"> <div data-ogsc="">Previous experience in a primary care or specialty clinic is highly preferred.</div> </li> <li data-ogsc="black"> <div data-ogsc="">Experience with eClinicalWorks (eCW) or a similar EMR system is a plus.</div> </li> <li data-ogsc="black"> <div data-ogsc="">Excellent communication and organizational skills.</div> </li> <li data-ogsc="black"> <div data-ogsc="">Ability to work independently and within a collaborative team environment.</div> </li> <li data-ogsc="black"> <div data-ogsc="">Detail-oriented with strong follow-through and time management abilities.</div> </li> </ul> <div data-ogsc="black"><strong data-ogsc="">Why Join Our Team?</strong></div> <div data-ogsc="black"> <ul> <li>Substantial Growth Opportunities</li> <li>Leadership and Mentoring</li> <li>Resources to Further your Career</li> <li>Fun Work Environment (Events, Team Bonding's, Holiday Parties)</li> <li>Benefits (Medical/Vision/401k/Paid Holidays)&nbsp;</li> <li>Supportive and Positive Work Environment</li> </ul> </div>