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Pre-Authorization Radiology Unit Representative
Ref No.: 18-13824
Location: Emeryville, California
The Pre-Authorization Radiology (PAR) Authorization and Financial Counselor is generally assigned to one primary work area within the Pre-Access Unit, but may rotate or be assigned to any area or site within the Patient Access Department as outlined in departmental expectations. With the primary assignment area being the PAR, the primary responsibility for the representative is obtaining authorizations for radiology exams/services by working with ordering physician's office staff, the applicable Medical Center ancillary department, and/or review organization(s) as required. In general, the Authorization Counselor is responsible for all spectrums of financially securing the insurance and authorization data for patients' services with insurance coverage that are primarily handled by the PAR Unit. The responsibilities include: 1) verifying basic demographic and clinical information relevant to the patient's radiology exam/services 2) verifying insurance eligibility and benefits, 3) securing authorization from third party payers (and/or their designated review organizations), and 4) properly notating all activity in APeX.