Precertification Radiology Liaison - Mount Kisco, NY
Company: Optum
Location: Mount Kisco
Posted on: May 26, 2025
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Job Description:
Optum New York, (formerly Optum Tri-State NY) is seeking a
Precertification Radiology Liaison to join our team in Mount Kisco,
NY. Optum is a clinician-led care organization that is changing the
way clinicians work and live.
As a member of the Optum Care Delivery team, you'll be an integral
part of our vision to make healthcare better for everyone.
At Optum, you'll have the clinical resources, data and support of a
global organization behind you so you can help your patients live
healthier lives. Here, you'll work alongside talented peers in a
collaborative environment that is guided by diversity and inclusion
while driving towards the Quadruple Aim. We believe you deserve an
exceptional career, and will empower you to live your best life at
work and at home. Experience the fulfillment of advancing the
health of your community with the excitement of contributing new
practice ideas and initiatives that could help improve care for
millions of patients across the country. Because together, we have
the power to make health care better for everyone. Join us and
discover how rewarding medicine can be while Caring. Connecting.
Growing together.
The Precertification Radiology Liaison is responsible for working
closely with both the Precertification/Authorization department and
Radiology Clerical team to confirm and coordinate approvals for all
advanced imaging studies.
This position is full-time, Monday - Friday. Employees are required
to work any of our 9-hour shift schedules during our normal
business hours of 8:00am - 6:00pm with a 1-hour lunch. It may be
necessary, given the business need, to work occasional overtime.
Employees are required to work 2 days onsite and 3 days from
home.
We offer 6 weeks of paid training. The hours during training will
be 8:00am - 6:00pm, Monday - Friday. Training will be conducted
onsite.
If you are within commutable distance to the office at 100 S
Bedford Road, Mount Kisco, NY, you will have the flexibility to
work from home and the office in this hybrid role* as you take on
some tough challenges.
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Primary Responsibilities:
Review all Radiology advanced imaging schedules for all locations
minimum 2-3 days prior.
Follow up on all missing/pending exams and compile a list to send
to the authorization team.
Review authorizations for validity including expiration date.
Update the missing/outstanding lists for all sites.
Obtain all authorization information for exams ordered by outside
providers & add/update authorization information appropriately once
obtained.
Communicate clearly with patients to update them on the status of
their authorization.
Answer patient authorization inquiries.
Manage all upgrade/downgrade requests sent by Radiology
technologists.
Work with appropriate staff to obtain authorizations for sessional
providers.
Obtain contracted rates for patients when necessary.
Provide Radiology team with exam cost and ABN's for self-pay
patients.
Manage each site's stat radiology requests.
Forward stat notifications to designated precert rep.
Work to fill gaps in radiology schedules when appointments are
cancelled due to pending or denied authorizations.
Facilitate solutions to problems/issues.
Process diagnoses changes.
Perform other various related duties as necessary to assist in
patient care.
Assist with special projects & tasks.
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You'll be rewarded and recognized for your performance in an
environment that will challenge you and give you clear direction on
what it takes to succeed in your role as well as provide
development for other roles you may be interested in.Required
Qualifications:
High School Diploma / GED
Must be 18 years of age OR Older
6+ months of experience with prior authorizations
2+ years of experience in Customer Service
Experience with Microsoft Word, Excel (create, edit, save documents
and spreadsheets) and Outlook (email and calendar management)
Knowledge of ICD-9 and CPT codes
Ability to work any of our 9-hour shift schedules during our normal
business hours of 8:00am - 6:00pm with a 1-hour lunch. It may be
necessary, given the business need, to work occasional overtime
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Preferred Qualifications:
Experience working within the health care Industry and with health
care insurance
Experience working in a hospital, physician's office or medical
clinic setting
A clerical or administrative support background
Experience working in a call center
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Telecommuting Requirements:
Reside within commutable distance to the office at 100 S Bedford
Road, Mount Kisco, NY
Ability to keep all company sensitive documents secure (if
applicable)
Required to have a dedicated work area established that is
separated from other living areas and provides information
privacy
Must live in a location that can receive a UnitedHealth Group
approved high-speed internet connection or leverage an existing
high-speed internet service
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Soft Skills:
Ability to follow oral and written instructions
Ability to maintain, organize and respond to high volume email
communication
Ability to effectively communicate with patients, physicians, and
employees within the organization
Ability to adequately use, or learn to use, the department's
computerized system and its associated devices
Experience working within the health care Industry and with health
care insurance
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*All employees working remotely will be required to adhere to
UnitedHealth Group's Telecommuter Policy
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The hourly range for this role is $16.88 to $33.22 per hour based
on full-time employment. Pay is based on several factors including
but not limited to local labor markets, education, work experience,
certifications, etc. UnitedHealth Group complies with all minimum
wage laws as applicable. In addition to your salary, UnitedHealth
Group offers benefits such as a comprehensive benefits package,
incentive and recognition programs, equity stock purchase and 401k
contribution (all benefits are subject to eligibility
requirements). No matter where or when you begin a career with
UnitedHealth Group, you'll find a far-reaching choice of benefits
and incentives.
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At UnitedHealth Group, our mission is to help people live healthier
lives and make the health system work better for everyone. We
believe everyone-of every race, gender, sexuality, age, location,
and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good
health which are disproportionately experienced by people of color,
historically marginalized groups, and those with lower incomes. We
are committed to mitigating our impact on the environment and
enabling and delivering equitable care that addresses health
disparities and improves health outcomes - an enterprise priority
reflected in our mission.
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OptumCare is an Equal Employment Opportunity employer under
applicable law and qualified applicants will receive consideration
for employment without regard to race, national origin, religion,
age, color, sex, sexual orientation, gender identity, disability,
or protected veteran status, or any other characteristic protected
by local, state, or federal laws, rules, or regulations.
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OptumCare is a drug - free workplace. Candidates are required to
pass a drug test before beginning employment.
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#RPO #RED #RPOLinkedIn
Keywords: Optum, New Rochelle , Precertification Radiology Liaison - Mount Kisco, NY, Healthcare , Mount Kisco, New York
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