Radiology Prior Authorization Specialist Hubli (India)

Taglynk; Bengaluru; On-site; INR 500,000 - 900,000; Full time

Job summary

Taglynk is seeking a meticulous Radiology Prior Authorization Specialist to oversee the end-to-end PA process for imaging services such as MRI, CT, PET and Ultrasound.

You will collaborate with radiologists, technologists, billing staff, and insurers to secure timely approvals and maintain compliant records, while minimizing denials and accelerating turnaround times.

Qualifications

• Minimum of 3 years handling medical prior authorizations.
• Experience in a radiology center or with radiology teams is highly desirable.
• Strong attention to detail and accuracy in documentation.

Responsibilities

• Manage the full lifecycle of prior authorizations for radiology procedures and imaging services (e.g., MRI, CT, PET, Ultrasound).
• Review prior authorization submissions for completeness and alignment with medical necessity and payer guidelines.
• Collaborate with radiologists, imaging departments, and billing teams to collect and submit accurate clinical documentation.
• Coordinate with insurance carriers to resolve denials, manage appeals, and minimize barriers to timely care.
• Maintain detailed and compliant records of all authorizations, including statuses and correspondence.
• Identify issues early in the process and implement solutions to accelerate authorization turnaround times.
• Stay current with payer policy updates and radiology technology/procedure changes to ensure workflow compliance.
• Provide actionable insights to improve the radiology PA workflow.
• Utilize EMRs and PA platforms to manage submissions and track progress.
• Ensure all processes and documentation meet HIPAA and related standards.

Skills

Medical prior authorizations

Radiology experience

Documentation accuracy

Process improvement

Tools

Radiology Information Systems (RIS)

PA platforms

Job description

We are seeking a meticulous and proactive Radiology Prior Authorization Specialist to oversee and streamline the prior authorization (PA) process for radiology procedures. This role ensures timely and accurate approvals, reduces patient wait times, and supports compliance with payer requirements. You will collaborate with radiologists, technologists, billing staff, and insurance providers to facilitate access to essential diagnostic and therapeutic radiology services.

Responsibilities

• Manage Prior Authorization Process: Handle the full lifecycle of prior authorizations for radiology procedures and imaging services (e.g., MRI, CT, PET, Ultrasound).
• Review Requests: Assess prior authorization submissions for completeness, ensuring alignment with medical necessity and payer guidelines.
• Team Collaboration: Work with radiologists, imaging departments, and billing teams to collect and submit accurate clinical documentation.
• Insurance Coordination: Communicate with insurance carriers to resolve denials,manage appeals, and minimize barriers to timely care.
• Maintain Records: Keep detail edand compliant records of all authorizations, including statuses and correspondence.
• Problem Resolution: Identify issues early in the process and implement solutions to accelerate authorization turnaround times.
• Stay Current: Monitor updates in payer policies and current radiology technologies/procedures to ensure workflow compliance.
• Process Improvement: Provide actionable insights to improve the radiology PA workflow.
• Technology Utilization: Use EMRs (e.g., Radiology Information Systems) and PA platforms to manage submissions.
• Regulatory Compliance: Ensure all processes and documentation meet HIPAA and related standards.

Qualifications

• Experience: Minimum of 3 years handling medical prior authorizations, preferably in radiology or imaging services.
• Preferred Background: Experience in a radiology center or working with radiology teams is highly desirable.
• Technical K .