Cardiology and Vascular Associates (CAVA) is considered as one of the premier cardiology practices in Michigan. Established in 2000, our 11 board certified cardiologists and 8 mid-level providers, provide services at 5 office locations and multiple area hospitals. We are looking for dedicated and knowledgeable staff to add to our growing practice. Be a part of something special and make an impact with us!
Please do NOT apply if you do not have experience with pre-authorizations.
Job Responsibilities:
- Obtaining authorizations for testing and or procedures performed at an out-patient facility (SJMO, Huron Valley, Beaumont, and other facilities).
- Work closely with the scheduling department to obtain prior authorization for upcoming procedures.
- Verify insurance information for referrals and authorizations.
- Updating the insurance for existing patients when insurance is termed.
- Obtaining referral / prior authorization for procedures for EP and Interventional Cardiology along with CT/CTA/MRI testing.
- Use websites for pre-authorization uploading chart notes, testing, and medications.
- Receiving and reviewing patient’s chart and documents for verification that the information supports the service.
- Sending staff request to finalize office note or up load EKG.
- Authorization for pretesting and procedures booked by SJMO clinical staff
- Fax or email hospital staff with authorization for testing or procedures.
- Setting up peer to peer review when case is denied. Send emails to PA/Physician and office contact to make sure the peer to peer is responded to in a timely manner
- Answer relevant emails and phone calls
- Communicate with appropriate staff regarding authorizations
- Other duties as assigned
Job Type: Full-time
Pay: From $17.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Weekly day range:
- Monday to Friday
- No weekends
Experience:
- Obtaining Authorizations: 2 years (Preferred)
Work Location: In person