Radiology Preauthorization Specialist – Entry Level

MedStar Health; White Marsh (MD); On-site; USD 26,000 - 45,000; Full time

Job summary

MedStar Health is seeking a Preauthorization/Precertification Specialist with strong radiology insurance authorization and verification experience. The role involves confirming pre-certifications prior to services, assisting patients and providers, and reducing denials by ensuring complete authorization data across IDX and SMS/Invision systems.

Qualifications include 1–2 years in patient accounting or access roles, proficiency with payer processes, and knowledge of UB04/HCFA forms.

Qualifications

• Payer authorization and clearance processes proficiency.
• Basic UB04/HCFA-1500 knowledge and payer responses.
• Familiar with CPT/ICD-10 coding.
• Excellent communication and organizational skills.
• Typing 35 WPM and MS Office proficiency.

Responsibilities

• Verify pre-authorizations and credentials for scheduled services.
• Submit and track referrals and pre-certifications with payers.
• Maintain data in scheduling and billing systems for accurate submissions.
• Respond to inquiries from providers and patients promptly.
• Monitor queue and resolve missing authorization numbers or documents.

Skills

Payer authorization

Communication skills

Medical terminology

Typing 35 WPM

MS Excel & Word

UB04/HCFA forms

CPT/ICD-10 knowledge

Education

High School Diploma or GED

Job description

MedStar Health is seeking a Preauthorization/Precertification Specialist with strong radiology insurance authorization and verification experience. The role involves confirming pre-certifications prior to services, assisting patients and providers, and reducing denials by ensuring complete authorization data across IDX and SMS/Invision systems.

Qualifications include 1–2 years in patient accounting or access roles, proficiency with payer processes, and knowledge of UB04/HCFA forms.