Imaging Pre-Authorization Specialist – MRI/CT

Tri-State Orthopaedics; Pittsburgh (Allegheny County); On-site; USD 52,000 - 68,000; Full time

Job summary

Tri-State Orthopaedics & Sports Medicine is seeking a full-time Diagnostic Imaging Pre-Authorization Specialist to join our established practice. You will review clinical notes, verify benefits and process prior authorizations for MRI and CT imaging across providers.

In this fast-paced environment, you will monitor requests, communicate with insurers, and support providers, staff and patients with timely authorization decisions while maintaining HIPAA compliance.

Qualifications

• High school diploma or equivalent; associate degree or medical certification is a plus.
• 1-2 years of experience in medical billing, insurance verification, or prior authorizations.
• Knowledge of CPT and ICD-10 medical coding.
• Familiarity with medical terminology for radiology is a plus.

Responsibilities

• Review clinical notes for required content and verify insurance benefits.
• Submit prior authorizations for MRI/CT scans and track statuses.
• Monitor pending imaging requests and liaise with insurers to prevent delays.
• Obtain and schedule STAT/URGENT imaging prior authorizations as needed.
• Communicate authorization status with providers, imaging facilities, staff and patients.
• Facilitate peer-to-peer discussions or appeals for denied authorizations.

Skills

Telephone skills

Computer skills

Customer service

Medical terminology

Radiology terminology

Education

High school diploma

Associate degree or medical certification

Tools

EHR systems

Job description

Tri-State Orthopaedics & Sports Medicine is seeking a full-time Diagnostic Imaging Pre-Authorization Specialist to join our established practice. You will review clinical notes, verify benefits and process prior authorizations for MRI and CT imaging across providers.

In this fast-paced environment, you will monitor requests, communicate with insurers, and support providers, staff and patients with timely authorization decisions while maintaining HIPAA compliance.