Remote Radiology Prior Authorization Specialist

TRA Medical Imaging; United States; Remote; USD 32,000 - 39,000; Full time

Benefits offered by this job

No nights/weekends

Medical/Dental/Vision

HSA & FSA

EAP

Life & Disability

401(k) with match

PTO 17 days

Paid holidays

Compensation growth path

Profit sharing

Pet Insurance options

Legal & ID Protection

Job summary

TRA Medical Imaging is seeking a Prior Authorization Specialist for a fully remote role. You will verify radiology orders, ensure medical necessity, and secure authorizations with CPT/ ICD-10 coding accuracy while complying with HIPAA.

This position supports imaging scheduling across select US states and offers a daytime schedule Monday–Friday. Requirements include 3+ years in medical office insurance authorization, strong familiarity with insurance portals, and excellent communication with

Qualifications

• Minimum 3 years of medical office insurance authorization experience.
• Knowledge of CPT and ICD-10 coding.
• Experience navigating insurance websites for eligibility and claim status.
• Understanding radiology procedures and authorization workflows.
• Strong attention to detail and ability to multitask.
• Excellent written and verbal communication and customer service.

Responsibilities

• Obtain prior authorizations for imaging procedures including MRI, CT, PET, Nuclear Medicine, Fluoroscopy, Interventional Radiology, Mammography, Ultrasound, X-ray, and Bone Densitometry.
• Verify insurance eligibility, benefits, and authorization requirements.
• Ensure correct CPT and ICD-10 coding for all scheduled exams.
• Contact referring physician offices and insurance carriers to obtain required documentation.
• Review medical records to confirm medical necessity.
• Enter authorization numbers and detailed documentation into the RIS system.
• Educate patients on insurance and authorization requirements.
• Reschedule patients when authorization is pending.
• Provide price quotes and explain financial assistance options.
• Maintain HIPAA compliance and patient confidentiality.
• Collaborate with technologists, front desk staff, and scheduling teams to ensure exam accuracy.

Job description

TRA Medical Imaging is seeking a Prior Authorization Specialist for a fully remote role. You will verify radiology orders, ensure medical necessity, and secure authorizations with CPT/ ICD-10 coding accuracy while complying with HIPAA.

This position supports imaging scheduling across select US states and offers a daytime schedule Monday–Friday. Requirements include 3+ years in medical office insurance authorization, strong familiarity with insurance portals, and excellent communication with