Radiology Pre-Auth Specialist (Remote)

Royal Health Inc; United States; On-site; USD 42,000 - 70,000; Full time

Benefits offered by this job

Competitive benefits (medical, dental,

Vision insurance

Job summary

Royal Health Inc. is seeking a Pre-Authorization Specialist to contact insurance carriers and third-party administrators to determine pre-authorization and medical necessity requirements for outpatient radiology exams and procedures.

The role ensures all authorizations are obtained before scheduled services, serving as a liaison between clients, physicians, and office staff to obtain any needed documentation.

Qualifications

• Experience with radiology authorizations and insurance carriers.
• Review documentation to ensure completeness for submissions.
• Verify insurance eligibility and obtain pre-authorizations per payer requirements.
• Strong organization and ability to manage multiple requests.
• Excellent written and verbal communication with clients, physicians, and insurers.

Responsibilities

• Contact payers to determine pre-authorization and medical necessity.
• Coordinate with clients and physicians to obtain required clinical documentation.
• Ensure all authorizations are obtained prior to scheduled services.
• Serve as liaison between clients, physicians, and office staff.

Skills

Radiology authorizations

Insurance verification

Communication skills

Organizational skills

Remote work

Job description

Royal Health Inc. is seeking a Pre-Authorization Specialist to contact insurance carriers and third-party administrators to determine pre-authorization and medical necessity requirements for outpatient radiology exams and procedures.

The role ensures all authorizations are obtained before scheduled services, serving as a liaison between clients, physicians, and office staff to obtain any needed documentation.