Radiology Pre-Authorization Associate, FGP - Jamaica Estates

NYU Langone Hospital—Long Island is a 591-bed university-affiliated medical center, which offers sophisticated diagnostic and therapeutic care in virtually every specialty and subspecialty of medicine and surgery. We are a major regional healthcare resource with a deep commitment to medical education and research, offering a full complement of inpatient and outpatient services. At NYU Langone Health, equity and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace inclusion and individual skills, ideas, and knowledge.

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Position Summary:
We have an exciting opportunity to join our team as a Radiology Pre-Authorization Associate, FGP - Jamaica Estates.

In this role, the successful candidate under the general direction of the FGP Radiology Insurance Verification/Pre-cert Manager, the position is responsible for obtaining and documenting insurance verification and pre-authorizations and pre-certifications prior to patient appointments and facilitating patient administrative needs. They communicate directly with patients and referring physicians to obtain appropriate insurance and clinical information required to obtain an authorization from the appropriate utilization management company. They are required to contact patients directly and reschedule the exam if the authorization is not obtained prior to appointment time.

Job Responsibilities:

• Maintains cooperative and professional relationships with physicians, nurses and office staff. Has a positive relationship with colleagues. Cooperates with supervisor and other members of the team. Works well with others. All other related duties as required.
• Reschedules all patients for whom insurance verification/authorization information has not been obtained prior to the patient's appointment. Effectively obtains all necessary pre-registration information (i.e. demographic and insurance information) from patients, caregivers and other staff members. Answers phones and screens incoming calls. Accurately takes messages, provides information and/or redirects callers to the appropriate department in a timely manner. Sends timely requests to referring physicians for authorization when NYULMC Radiology cannot obtain. Communicates authorization cases denied for medical necessity or requiring peer-to-peer review to the referring physician for resolution. Documents authorization in EPIC according to defined protocol. Properly refers patients to the Financial Counselor as needed. Answers incoming calls from patients and referring physician offices regarding authorization status and pending requirements.
• Maintains patient schedule and related insurance verification/pre-authorization information. Utilizes applicable computer systems to obtain insurance verification/pre-authorization for scheduled patients. Effectively communicates scheduled services and provides information to patients, caregivers, and other staff members as necessary.

Minimum Qualifications:
To qualify you must have a High School Diploma and 2 years' relevant experience or the equivalent combination of education and experience. Must include prior medical scheduling experience and knowledge of insurance companies' admission procedures and policies to complete insurance verification and pre-authorization requirements and knowledge of medical terminology for multiple subspecialties. Proficiency with intermediate to advanced scheduling software, word processing, spreadsheet, database applications and Internet-based healthcare applications/websites. Moderate, accurate keyboarding skills. Highly detail-oriented with strong organizational, communication and customer services skills. Ability to multitask and prioritize in a fast-paced environment.

Preferred Qualifications:
Bachelor's Degree and three years practice support and scheduling experience in a high-volume healthcare environment.

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Hospital—Long Island provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.

NYU Langone Hospital—Long Island is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

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NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $41,473.44 - $65,958.73 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

To view the Pay Transparency Notice, please click here