Pre-Authorization Representative

SimonMed; Arizona; Hybrid; USD 38,000 - 52,000; Full time

Benefits offered by this job

Competitive wages

No nights

No weekends

Medical insurance

Dental insurance

Vision insurance

401(k) eligibility

PTO

Sick time

Paid holidays

Pet insurance

Job summary

SimonMed Imaging seeks an Insurance Authorization Representative to manage coverage verification, pre-certifications, and patient clearance for diagnostic services. This role supports timely access and accurate scheduling within the revenue cycle.

We value attention to detail, clear patient communication, and collaboration with carriers and staff to minimize delays and denials in a busy imaging environment.

Qualifications

• Verify insurance coverage and obtain pre-certifications.
• Ensure patients are cleared for diagnostic testing.
• Follow insurance workflows and organizational guidelines.
• 2–4 years of related experience is preferred.
• Associate’s degree or equivalent required.

Responsibilities

• Verify insurance coverage and obtain pre-certifications for diagnostic exams.
• Ensure patients are cleared for care and scheduled appropriately.
• Maintain clear communication with patients regarding status and expectations.
• Collaborate with insurance carriers, schedulers, and clinical staff to remove barriers.
• Adhere to established procedures and timelines across cases.

Skills

Insurance verification

Authorization processes

Pre-certification

Attention to detail

Patient communication

Collaboration with carriers

Education

Associate’s degree or equivalent

Job description

Ensure patients are financially and clinically cleared for care by managing insurance authorization, pre-certification, and registration processes that support timely access to diagnostic services.

At SimonMed Imaging, the Insurance Authorization Representative plays a critical role in the patient access and revenue cycle process. This position ensures that diagnostic exams are properly authorized, financially reviewed, and scheduled in compliance with insurance requirements and organizational standards.

This is a detail-driven, patient-facing administrative role where accuracy, communication, and insurance knowledge directly impact both patient experience and operational efficiency. If you enjoy problem-solving within healthcare systems and ensuring patients can access care without financial or administrative barriers, this role offers meaningful daily impact.

What You Bring

Insurance and authorization expertise: You verify insurance coverage, obtain pre-certifications, and ensure patients are cleared for diagnostic testing before appointments.

Strong attention to detail: You gather and validate accurate patient, payer, and clinical information to prevent delays, denials, or financial surprises.

Patient communication skills: You maintain ongoing communication with patients regarding authorization status, scheduling updates, and financial expectations in a clear and compassionate manner.

Knowledge of healthcare insurance processes: You understand common insurance concepts, payer requirements, and authorization workflows that support diagnostic imaging services.

Organizational and process discipline: You follow established guidelines and instructions while managing multiple cases and deadlines in a structured environment.

Collaboration skills: You work closely with insurance carriers, financial counselors, schedulers, and clinical staff to ensure seamless patient access.

What You’ll Gain

Purpose-driven patient access role: Your work removes financial and administrative barriers so patients can receive timely diagnostic care.

Strong healthcare operations experience: Build expertise in insurance authorization, pre-certification, and revenue cycle workflows within a leading imaging organization.

High-impact administrative work: Ensure patients are cleared for care correctly the first time, improving both patient experience and operational efficiency.

Collaborative healthcare environment: Partner with clinical, financial, and scheduling teams to support end-to-end patient care.

Growth opportunity: Develop valuable skills in healthcare insurance, compliance, and patient access operations.

You’re a Strong Fit If You Have

• Associate’s degree or equivalent required
• 2–4 years of related experience required
• Strong knowledge of insurance verification, authorization, and pre-certification processes
• Familiarity with healthcare insurance concepts, practices, and procedures
• Excellent attention to detail and accuracy in documentation and data entry
• Strong communication skills for patient and payer interactions
• Ability to follow established procedures and work independently within guidelines
• Experience in healthcare, patient access, or revenue cycle roles preferred

Benefits

Your health, happiness and future matters!

• Competitive wages
• No nights/no calls/no weekends
• Medical, dental, and vision insurance
• 401(k) eligibility
• Pet Insurance
• Paid holidays
• PTO
• Sick Time

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Employment is contingent upon successful completion of drug and background screening. Some positions will require a favorable driving record.