Pre-Authorization Representative

SimonMed Imaging; South San Francisco (CA); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Medical Insurance

Vision Insurance

Dental Insurance

401(k)

Paid Holidays

PTO

Sick Time

Growth Opportunities

Job summary

SimonMed Imaging in South San Francisco, CA seeks a Patient Access Coordinator to support the radiology workflow. You will verify insurance, obtain pre-certifications, and register patients for procedures, ensuring accurate information and smooth scheduling.

The role requires an associate's degree and 2–4 years of experience. You will collaborate with clinicians, billing staff, and insurance carriers to minimize financial obstacles and improve patient experience.

Qualifications

• Requires an associate's degree or its equivalent and 2-4 years of experience.

Responsibilities

• Verifies patient insurance and pre-certification for diagnostic tests.
• Registers patients for appointments and ensures accurate patient information.
• Gathers pertinent information from insurance carriers and staff to confirm financial responsibility.
• Communicates with patients regarding authorization and scheduling process.
• Works with clinical and billing staff to support smooth patient flow.

Skills

Customer service

Insurance coordination

Education

Associate's degree or equivalent

2–4 years experience

Job description

Join the fastest growing outpatient radiology practice in the Nation- SimonMed Imaging! Our commitment to excellence and improving patient care paired with the best-in-class technology allows us to be an industry leader in the constantly evolving health care environment. Secure your spot now and take advantage of a unique career opportunity to advance your skills while working alongside a dedicated team of board-certified subspecialty radiologists. We can't wait to meet you!

ESSENTIAL FUNCTIONS:

• Demonstrates competency in the performance of job-related skills appropriate to his/her customer populations and departmental services.
• Ensures patients have been cleared for specific diagnostic tests.
• Obtains pre-certification and registration prior to a patient's appointment.
• Gathers pertinent information from insurance carriers, financial counselors, and other ancillary staff to make certain the patient is not financially obligated for services provided.
• Provides ongoing communication with patient regarding authorization and scheduling process.
• Has knowledge insurances and of commonly used concepts, practices, and procedures.
• Relies on instructions and pre-established guidelines to perform the functions of the job.

OTHER DUTIES:

Please note this job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time or without notice.

BENEFITS:

Your health, happiness and future matters! At SimonMed Imaging, we offer medical, vision and dental insurance, 401(k) eligibility, paid holidays plus PTO, Sick Time, opportunity for growth, and much more!

MINIMUM QUALIFICATIONS:

Requires an associate's degree or its equivalent and 2-4 years of experience.

PHYSICAL DEMANDS:

This position may require duties including lifting and carrying up to 40 pounds, sitting for prolonged periods of time, with frequent standing and walking.

DRESS ATTIRE:

Business Casual or scrubs dependent on department

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.