Responsible for verification of patient eligibility, the pre-certification of services as required, ensuring coverages are updated, validating authorizations already on file, and providing price estimates upon request.
Responsibilities
• Verify patient’s insurance status and benefit eligibility.
• Accurately determine the patient un-met deductible, co-insurance, and co-payment amounts
• Accurately and timely provide for any pre-authorization or pre-certification of services.
• Communicate with center staff, referring offices, team members, leaders, and schedulers.
• Provide high level of customer service with goal of maintaining low cancellation and auth denial rates while increasing Time of Service collection rates.
• Meet or exceed established productivity standards.
• Meet or exceed established quality assurance standards and maintain customer experience expectations.
• Meet or exceed established error standards.
• Meet or exceed expectations related to phone and instant message response time and quality of service provided in those interactions.
• Ensure patients that are not approved or covered for services are notified timely and provided all options including rescheduling and waivers.
• Provide price estimates prior to scheduling when requested.
• Other duties as assigned.
Qualifications
Education:
High School Diploma or GED
Prior Experience:
2 years’ experience
Special Qualifications:
• Ability to understand basic medical terminology.
• Knowledge of pre-certification process for insurance companies.
• Ability to calculate deductible and coinsurance correctly.
Company Message
About MedQuest Associates
Founded in 1996, MedQuest is one of the most experienced outpatient imaging providers in the United States. Through direct ownership and joint ventures, the company operates a mixed network of independent and hospital-affiliated radiology centers that perform diagnostic tests used to help identify, diagnose, and monitor a range of health conditions. In addition to providing expert solutions that include mammography, MRI, CT, ultrasound, x-ray, and positron emission tomography (PET) scans, MedQuest uses proprietary systems and processes to optimize center operations, control costs, and deliver an unmatched patient experience.
Patients, referring physicians, and healthcare systems count on MedQuest, and we’re growing to meet the demand. A career with our team includes limited or no weekend work, competitive salaries and benefits, and hybrid/remote opportunities based on role. To learn more, visit www.MQImaging.com.
