Prior Authorizations Specialist

X-Ray Associates of New Mexico; Albuquerque (NM); On-site; USD 38,000 - 52,000; Full time

Job summary

X-Ray Associates of New Mexico in Albuquerque, NM is seeking a Prior Authorizations Specialist to join our Revenue Cycle team. The role focuses on verifying insurance eligibility, obtaining prior authorizations, and helping patients understand their financial responsibilities before imaging services.

Responsibilities include updating demographics, communicating with patients and insurers, and supporting special Revenue Cycle projects.

Qualifications

• High school diploma or equivalent.
• Minimum of two years of experience in insurance verification or prior authorizations.
• Knowledge of medical insurance processing and terminology.
• Strong attention to detail and organizational skills.
• Ability to work in a fast-paced environment and learn multiple software systems.

Responsibilities

• Verify insurance eligibility and benefits for scheduled patients.
• Obtain and document prior authorizations from insurance carriers.
• Prepare patient cost estimates and assist with payment arrangements.
• Update patient demographics and insurance information.
• Communicate with patients, referring providers, and insurers regarding authorization and benefits.
• Support Revenue Cycle operations and special projects as assigned.

Education

High school diploma or equivalent

Job description

Prior Authorizations Specialist

X-Ray Associates of New Mexico Albuquerque, New Mexico, United States

About this position

X-Ray Associates of New Mexico is seeking a Revenue Qualification Specialist to join our Revenue Cycle team. This position is responsible for verifying insurance eligibility and benefits, obtaining prior authorizations, preparing patient estimates, and assisting patients with understanding their financial responsibility prior to scheduled imaging services.

Key Responsibilities

• Verify insurance eligibility and benefits for scheduled patients.
• Obtain and document prior authorizations from insurance carriers.
• Prepare patient cost estimates and assist with payment arrangements.
• Update patient demographic and insurance information.
• Communicate with patients, referring providers, and insurance companies regarding authorization and benefit information.
• Support Revenue Cycle operations and special projects as assigned.

Requirements

• High school diploma or equivalent.
• Minimum of two years of experience in insurance verification, prior authorizations, medical front office, or medical accounts receivable.
• Knowledge of medical insurance processing and medical terminology.
• Strong attention to detail, organizational skills, and customer service abilities.
• Ability to work effectively in a fast-paced environment and learn multiple software systems.