Precertification Specialist

Premier Radiology; Tennessee; Remote; USD 25,000 - 28,000; Full time

Job summary

Premier Radiology, a Radiology Partners practice in the Nashville area, seeks a remote Pre-authorization Specialist to manage insurance requirements for outpatient radiology exams. You will determine medical necessity, obtain approvals prior to services, and liaise with patients and referring physicians while working in the CST timezone.

The role emphasizes healthcare billing knowledge, experience with managed care, and clear communication with diverse stakeholders.

Qualifications

• Background in healthcare preferred.
• Working knowledge of medical billing and managed care.
• Background with eClinicalWorks Practice Management System preferred.
• Excellent communication skills to communicate with patients, physicians, clients, coworkers, and management staff.

Responsibilities

• Determine pre-authorization and/or medical necessity requirements for outpatient radiology exams and procedures by contacting insurance companies and third-party administrators.
• Obtain the pre-authorization before scheduled services are performed.
• Act as a liaison between patients and referring physician offices to obtain additional clinical documentation.
• Fully Remote - Working in CST time-zone.

Skills

Healthcare background

Medical billing

Managed care

eClinicalWorks

Communication skills

Tools

eClinicalWorks Practice Management System

Job description

JOIN PREMIER RADIOLOGY (A Radiology Partners practice): Make a local impact in the Greater Nashville, TN area!

At Premier Radiology, we believe transforming radiology starts with investing in the people who deliver care every day. As a practice of Radiology Partners (RP), Premier combines a strong local presence across Tennessee with the support and resources of a leading national radiology organization—delivering exceptional outpatient imaging while offering healthcare professionals meaningful, sustainable careers.

ABOUT PREMIER RADIOLOGY & RADIOLOGY PARTNERS, INC.

Premier Radiology is one of the leading outpatient imaging providers across Tennessee, known for convenient access, high-quality care, and an exceptional patient experience. As a proud practice of Radiology Partners (RP), Premier pairs trusted local care with the resources and clinical standards of a purpose-built national radiology organization focused on quality, access, and innovation.

With 20+ outpatient imaging centers throughout the Nashville market, Premier Radiology combines:

• certified RP radiologists
• Advanced diagnostic technology

Together, RP and Premier Radiology are redefining how imaging supports patients, referring providers, and the clinicians who make care possible. When you join Premier Radiology, you'll be backed by Radiology Partners (RP)—a nationally recognized organization that prioritizes clinical excellence and a people - first culture.

WHY JOIN US:

• Competitive compensation and comprehensive total rewards
• True work-life balance in an outpatient setting—no on-call shifts or overnights
• Consistent RP standards with local leadership and support
• A fun, team-first culture at Premier Radiology—collaborative, supportive, and grounded in safety and trust

Radiology Partners has been Certified Great Place to Work for five consecutive years, reflecting the experiences of team members across our practices nationwide.

Position Summary:

• Will contact insurance companies and third-party administrators to determine pre-authorization and/or medical necessity requirements for outpatient radiology exams and procedures
• Responsible for obtaining the pre-authorization before the scheduled services are performed
• Will act as a liaison between the patients and referring physician offices when needed to obtain additional clinical documentation
• Fully Remote - Working in CST time-zone

DESIRED PROFESSIONAL SKILLS AND EXPERIENCE:

• Background in healthcare preferred
• Working knowledge of medical billing and managed care
• Background with eClinicalWorks Practice Management System preferred
• Excellent communication skills to communicate with patients, physicians, clients, coworkers, and management staff

The hourly range for this position is $18.00-$20.00. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. In addition to this range, Radiology Partners offers competitive total rewards packages, which include possible incentive and productivity programs, health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).

Final compensation is determined based on education, experience, certifications, and geographic factors.

In addition to competitive pay, Radiology Partners offers a robust total rewards package, which may include:

• Health and wellness coverage options
• 401(k) with employer offerings
• Paid time off and paid holidays
• Incentive and productivity programs (where eligible)
• (All benefits subject to eligibility requirements.)

Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.

CCPA Notice:When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.

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At RP, our subspecialties work together across our vast network to enhance patient care.