Remote Precertification Specialist, Radiology

Radiology Partners, Inc.; Nashville (TN); Remote; USD 29,000 - 32,000; Full time

Benefits offered by this job

Health and wellness coverage options

401(k) with employer offerings

Paid time off and paid holidays

Incentive and productivity programs

Job summary

Premier Radiology, a Radiology Partners practice, seeks a skilled professional to manage pre-authorization and medical-necessity coordination for outpatient radiology services. You will serve as the liaison between patients and referring physicians, ensuring documentation is complete before procedures, while working remotely in CST hours.

We value healthcare experience, strong communication, and familiarity with medical billing.

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

• 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.
• 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.

Skills

Healthcare background

Medical billing knowledge

eClinicalWorks PM System

Excellent communication

Tools

eClinicalWorks Practice Management System

Job description

Premier Radiology, a Radiology Partners practice, seeks a skilled professional to manage pre-authorization and medical-necessity coordination for outpatient radiology services. You will serve as the liaison between patients and referring physicians, ensuring documentation is complete before procedures, while working remotely in CST hours.

We value healthcare experience, strong communication, and familiarity with medical billing.