Job Description

Insurance Authorization Specialist


Job Summary:


We are seeking an experienced and detail-oriented Insurance Authorization Specialist to join our busy imaging facility. This role is essential in ensuring timely and accurate insurance authorizations for radiology procedures, including MRI, CT, X-ray, ultrasound, and other diagnostic imaging services. The ideal candidate is fast-paced, adaptable, and thrives in a multi-tasking environment. Excellent communication and customer service skills are essential.


Key Responsibilities:

• Obtain prior authorizations for imaging procedures from insurance companies, including MRI, CT, ultrasound, X-ray, and other diagnostic exams.

• Verify patient insurance eligibility, benefits, and requirements for imaging studies.

• Communicate directly with insurance representatives, referring physician offices, and patients to gather necessary information.

• Ensure all authorization approvals are documented accurately in the EMR and scheduling systems prior to appointments.

• Monitor and follow up on pending authorizations to prevent delays or rescheduling.

• Appeal denied authorizations and work collaboratively with radiologists and referring providers to obtain supporting clinical documentation.

• Maintain current knowledge of insurance payer guidelines and radiology authorization protocols.

• Deliver excellent customer service when assisting patients with insurance-related questions or concerns.

• Coordinate with front desk, scheduling, and billing teams to support efficient patient flow and minimize disruptions.

• Required: Minimum 1-2 years of prior experience in insurance authorization in a radiology or imaging setting.

• Strong understanding of radiology procedures and insurance requirements, including commercial, Medicare, and Medicaid plans.

• Ability to work efficiently in a fast-paced, high-volume environment while maintaining accuracy and professionalism.

• Excellent communication and interpersonal skills with a strong patient-service orientation.

• Highly organized with the ability to prioritize and handle multiple tasks.

• Comfortable learning and using EMR and scheduling software systems.

• Preferred but not required: Bilingual in English and Spanish (or another language).

• Supportive and team-oriented work environment

• Opportunities for professional development in the healthcare field

• Comprehensive benefits package, including 401K.

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