MRI Authorization Coordinator

Overview

Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Nashville and Middle Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system which allow our patients to live their best life. Ninety plus years later we are advancing the practice of orthopaedic surgery throughout the state.

• Our MRI Authorization Coordinator performs all duties related to direct contact with insurance providers to obtain authorizations for MRIs, obtain retro-authorizations and file appeals. This role will also perform duties of Patient Services Specialist occasionally to provide seamless coverage throughout scheduled work day and during staffing shortages.
• Calls to get pre-certifications including faxing clinical notes and supportive documents and follow up
• Notifies physician and nurses of denials and peer to peer requests and performs follow up
• Obtains retro-authorizations and writes appeal letters as needed
• Assist in tracking monthly outsourced MRIs (Excel spreadsheet)
• Works closely with MRI Technologists and User Access Specialists to maintain the MRI schedule
• Maintains strictest confidentiality following HIPAA guidelines
• Fills in for MRI Patient Access Specialists as needed
• Fills in at other MRI facilities as needed
• Assists MRI Director with other projects as needed

• Minimum 6 months related experience and/or training in a healthcare environment; or equivalent combination of education and experience.
• While a college degree is preferred, a high school diploma or general education degree (GED) is required

• Exceptional customer service orientation and demonstrated capacity to work in a team
• Working knowledge of CPT and ICD9/ICD
  10 coding
• Working knowledge of insurance provider imaging guidelines
• Working knowledge of denials and appeals
• Must be able to multi-task
• Must be organized and responsible
• Knowledge of clinic cash policies and procedures
• Basic computer skills (Excel experience a plus)
• Basic office clerical skills
• Simple math and calculator skills
• Customer relations skills
• Honesty
• History of dependability

TOA is an equal opportunity employer. TOA conducts drug screens and background checks on applicants who accept employment offers.