Job Description

**Employment Type:**
Full time
**Shift:**

**Description:**

**POSITION DESCRIPTION:**

Responsible for reviewing, submitting, monitoring and responding to issues regarding medical necessity prior authorizations for high tech radiology services, procedures and/or DME (Durable Medical Equipment) for IHA patients in multiple offices. Reviews patient medical history to identify supporting documentation in the patient chart relevant to the service or procedure; contacts insurance companies and obtains authorization.

**ESSENTIAL JOB FUNCTIONS**

Responsible for reviewing, submitting, monitoring and responding to issues regarding prior authorizations for high tech radiology services, procedures, and/or DME. Professionally communicates (oral or written) with the ordering provider for next steps, practice support staff and representatives of insurance companies. Reviews patient medical history, labs, pathology, imaging reports, ED records, consul...

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