Precertification Specialist I

Radiology Partners; Tennessee; Remote; USD 24,796 - 28,929; Full time

Benefits offered by this job

Flexible remote schedules

Competitive benefits package

Generous PTO plans

Career growth opportunities

Job summary

A leading radiology practice is seeking a Precertification Specialist to be responsible for obtaining pre-authorizations for outpatient exams. This fully remote role requires a background in healthcare, excellent communication skills, and the ability to interface with insurance providers. Candidates should possess knowledge of medical billing and experience with eClinicalWorks Practice Management System. Offering competitive pay between $18 and $21 per hour, this organization promotes a flexible work-life balance and an inclusive workplace culture.

Qualifications

• Background in healthcare preferred.
• Working knowledge of medical billing and managed care.
• Excellent communication skills to communicate with patients and physicians.

Responsibilities

• Contact insurance companies for pre-authorization of outpatient radiology exams.
• Act as a liaison between patients and referring physician offices.
• Schedule pre-authorization before services are performed.

Skills

Healthcare background

Medical billing knowledge

Communication skills

Phone skills

Computer skills

Tools

eClinicalWorks Practice Management System

Job description

WHO WE ARE AND WHAT WE DO

Join Premier Radiology, Transform your Career and Radiology!

Who We Are

Discover Premier Radiology, the gateway to-tier outpatient imaging in Tennessee! With access to hundreds of board-certified radiologists, we deliver state-of-the-art diagnostic care conveniently. Our mission is clear: providing high-quality, affordable imaging studies right where our patients live and work. From specialized radiologists to skilled technicians, accuracy and patient satisfaction drive us. Along with Radiology Partners, the leading practice in the U.S., we’re here to Transform Radiology.

What We Offer

Radiology is a team sport, and Radiology Partners is building a community of physicians and support teammates who embody our practice values and believe in our bold mission to transform radiology.

Here’s why you should join the RP / Premier Radiology team

• Community presence: 20+ clinics across Nashville
• Flexible work environment, work/home life balance
• Competitive compensation and benefits
• Leading the pack in the development of AI tools and technology resources
• Opportunities for professional development

Premier Radiology is seeking a talented, patient-focused individual to join our growing team as a Precertification Specialist.

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
• Excellent phone and computer skills

WHY Radiology Partners

• Competitive Benefits package – Eligibility starts the month after hire, with tiered options to choose from.
• Compensation Reviews, Career Growth Opportunities
• Flexible Remote Schedules
• Generous PTO Plans and Paid Holidays
• Proudly Certified as a Great Place to Work for Five Consecutive Years

COMPENSATION

The hourly range for this position is $18-$21. 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).

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.

Radiology Partners participates in E-verify.

Beware of Fraudulent Messages

Radiology Partners will never request payment, banking or other financial information in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in @radpartners.com. If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please email [e-mail] to notify our team.