Remote Radiology Prior Authorization Specialist

Carol Milgard Breast Center; États-Unis; À distance; USD 32 000 - 39 000; Plein temps

Avantages offerts par ce poste

No nights, weekends, or on-call shifts

Medical, Dental, and Vision Insurance

HSA and FSA options

Employee Assistance Program (EAP)

Basic Life Insurance and Long-Term Dis

Holiday and PTO

Résumé du poste

TRA Medical Imaging is seeking an experienced Prior Authorization Specialist for a fully remote role supporting radiology imaging services. You will ensure authorizations are in place, CPT/ICD-10 codes are correct, and medical necessity criteria are met across multiple imaging modalities.

The position requires at least 3 years of medical office insurance authorization experience, strong knowledge of radiology procedures, and excellent communication.

Qualifications

• High School Diploma or GED.
• Formal medical terminology training or equivalent medical office experience.
• 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 of radiology procedures and authorization workflows.

Responsabilités

• 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.

Connaissances

Radiology procedures

Insurance verification

CPT coding

ICD-10 coding

Medical authorizations

Formation

High School Diploma or GED

Formal medical terminology training

Outils

RIS systems

Description du poste

TRA Medical Imaging is seeking an experienced Prior Authorization Specialist for a fully remote role supporting radiology imaging services. You will ensure authorizations are in place, CPT/ICD-10 codes are correct, and medical necessity criteria are met across multiple imaging modalities.

The position requires at least 3 years of medical office insurance authorization experience, strong knowledge of radiology procedures, and excellent communication.