Prior Authorization Specialist

Job not on LinkedIn

🔥 0 minutes ago

🏈 Alabama, Arizona, +5 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🥔 Idaho – Remote 🌲 North Carolina – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ☕ Washington – Remote

💵 $23 - $28 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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TRA Medical Imaging

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1918

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance • Medical Imaging

TRA Medical Imaging is a healthcare organization offering high-quality diagnostic imaging services across the South Puget Sound region. With a commitment to patient safety and efficient care, TRA specializes in various imaging modalities and provides services such as mammograms, CT scans, and teleradiology. The organization emphasizes convenient access to care through its mobile app and patient portals, ensuring patients have the information they need at their fingertips.

📋 Description

• Obtain prior authorizations for imaging procedures including MRI, CT, PET, Nuclear Medicine, Fluoroscopy, Interventional Radiology, Mammography, Ultrasound, X-ray, and Bone Densitometry • Verify insurance eligibility, benefits, and authorization requirements • Ensure correct CPT and ICD-10 coding for all scheduled exams • Contact referring physician offices and insurance carriers to obtain required documentation • Review medical records to confirm medical necessity • Enter authorization numbers and detailed documentation into the RIS system • Educate patients on insurance and authorization requirements • Reschedule patients when authorization is pending • Provide price quotes and explain financial assistance options • Maintain HIPAA compliance and patient confidentiality • Collaborate with technologists, front desk staff, and scheduling teams to ensure exam accuracy • Ensure scheduled imaging examinations are authorized for the correct facility, meet medical necessity guidelines, and comply with insurance carrier and HIPAA requirements • Work under established guidelines and immediate supervision within Health Information Management, Patient Access, and Scheduling functions

🎯 Requirements

• Applicants must reside in Alabama, Arizona, Georgia, Idaho, North Carolina, Texas, Utah, or Washington • High School Diploma or GED • Formal medical terminology training or equivalent medical office experience • Minimum 3 years of medical office insurance authorization experience • Knowledge of CPT and ICD-10 coding • Experience navigating insurance websites for eligibility and claim status • Understanding of radiology procedures and authorization workflows • Strong attention to detail and ability to manage multiple tasks • Effective written and verbal communication skills • Professional customer service skills • Clinical experience in a radiology or imaging setting preferred • Experience working with RIS systems preferred • Experience with PET scan authorization processes preferred • Knowledge of HCPCS coding preferred • Ability to work Monday through Friday, 9:00 AM–5:30 PM Pacific Time • Comfortable working independently in a remote environment • Knowledgeable about insurance carriers and medical necessity criteria • Committed to patient-focused service

🏖️ Benefits

• No nights, weekends, or on-call shifts • Medical, Dental, and Vision Insurance • HSA and FSA options • Employee Assistance Program (EAP) • Basic Life Insurance and Long-Term Disability • 401(k) with automatic 3% employer contribution plus up to 3% employer match • 17 days of PTO • 9 paid holidays • Annual automatic compensation growth path • Profit sharing • Optional Pet Insurance, Legal, and ID Protection • Training and equipment provided