Authorization Specialist - (FDC)

The Authorization Specialist secures all required Prior Authorizations for Imaging procedures such as MRI, CT Scan & Ultrasound by working with the appropriate Insurance provider or intermediary.

The Authorization Specialist provides pertinent information requested from insurance companies and documents authorization details obtained from insurance companies into appropriate database.

• →Manage the authorization phase of Radiology patient encounter, verify with insurance via phone or online if pre-authorization is required for Radiology diagnostic testing. This duty is performed daily, about 50% of the time.
• →Able to use information provided in EMR system to complete the clinical information requirements for authorization. This duty is performed daily, about 10% of the time.
• →Works closely with referring physician office when an authorization request requires more detailed clinical information to support the required procedure. This duty is performed daily, about 10% of the time.
• →The Authorization Specialist will make requests for peer to peer reviews as necessary to obtain authorizations and approvals on testing.

• →Manage the authorization phase of Radiology patient encounter, verify with insurance via phone or online if pre-authorization is required for Radiology diagnostic testing. This duty is performed daily, about 50% of the time.
• →Able to use information provided in EMR system to complete the clinical information requirements for authorization. This duty is performed daily, about 10% of the time.
• →Works closely with referring physician office when an authorization request requires more detailed clinical information to support the required procedure. This duty is performed daily, about 10% of the time.
• →The Authorization Specialist will make requests for peer to peer reviews as necessary to obtain authorizations and approvals on testing.

• High school diploma or GED
• 12 – 18 months related experience and/or training

Medical Associates of Northwest Arkansas (MANA) is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

• High school diploma or GED
• 12 – 18 months related experience and/or training