Job description

PRACTICE OVERVIEW
Desert Radiology is committed to serving patients with prompt, quality healthcare. Founded in 1966, Desert Radiology has grown with the Southern Nevada community to become the area’s chief resource for the highest quality diagnostic care. Our staff of radiologists, technical and support teammates promote a reassuring environment that relieves concerns and results in the best possible experience for our patients. Desert Radiology works closely with local area hospitals to deliver leading-edge diagnostic and interventional imaging. We are proud to partner with numerous Nevada hospitals. It is the combination of compassion, expertise and a commitment to providing the latest imaging technology that makes Desert Radiology the premier choice for outpatient imaging procedures.

POSITION SUMMARY
Desert Radiology in Las Vegas, Nevada is seeking an Eligibility Coordinator that will review patient schedules, verify patient eligibility and ensures prior authorization has been obtained from the insurance company.

POSITION DUTIES AND RESPONSIBILITIES
1. Receives incoming requests (via telephone, fax, internet, or internal call list) to schedule patient exams and completes the following processes:
 Ensures patient’s referral matches the scheduled exam.
 Verifies patient’s eligibility with the insurance company, either by telephone or via the internet.
 Determines the patient’s out-of-pocket expense, taking into account any co-insurance and/or deductibles; inputs this data into the radiology information system (RIS).
 Reviews prior authorization requirements. If no prior authorization is needed, refers to the Scheduling Coordinator to finalize the exam. If prior authorization is needed, refers to the Prior Authorization Coordinator to obtain.
2. Contacts patient to advise of any insurance-related issues that prevent the patient from receiving services.
3. Accurately documents all information and communications, verbal and written, with the patient, provider or insurance company, into the radiology information system (RIS)
4. Answers all incoming calls from referring physicians, coworkers, and patients, in a pleasant and timely manner.
5. Assists in training other staff regarding eligibility procedures.
6. Identifies eligibility-related issues. Communicates appropriately to the PCC Supervisor regarding these and/or other departmental issues.

DESIRED PROFESSIONAL SKILLS AND EXPERIENCE
1. Knowledge of authorization and eligibility practices, medical terminology and paperwork processing requirements. Familiarity with CPT and ICD-9 coding.
2. Knowledge of medical terminology
3. Knowledge of eligibility software
4. Knowledge of and experience in using office equipment including telephone, fax, computer, adding machine and photocopier.
5. Knowledge of and experience in using radiology-related computer systems (RIS)
6. Knowledge of customer service concepts and techniques.
7. Ability to verify eligibility for an average of 70 – 90 exams per day.
8. Ability to perform basic mathematical computations.
9. Ability to pay close attention to detail for extended periods of time.
10. Ability to apply good judgment and problem solving skills.
11. Ability to communicate clearly in person and on the telephone.
12. Ability to use interpersonal skills to effectively interact with physicians, other facility staff, patients and families when providing instructions or responding to questions or exchanging patient-related information.
13. Ability to organize and prioritize tasks effectively.
14. Ability to read, understand and follow oral and written instructions.
15. Ability to file correctly by alphabetic or numeric system.
16. Ability to maintain confidentiality of patient record information.
17. Strong customer service skills and the ability to keyboard proficiently
18. Knowledge of medical terminology
19. Previous medical office experience
20. Experience in eligibility (preferred)

PHYSICAL AND MENTAL DEMANDS
Position requires sitting for six to seven hours per day; eye-hand coordination and finger dexterity; ability to view computer screens for long periods. Position may be stressful at times due to workload and/or dealing with difficult patients.

Radiology Partners is an equal opportunity employer. We believe in creating and celebrating a culture of belonging and are committed to creating an inclusive environment for all teammates.

CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.

Radiology Partners participates in E-verify.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work Location: One location

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