Prior Authorization Assistant

Job Summary

Working remotely in a full-time capacity, the Prior Authorization Assistant will manage high-volume prior authorization processes for imaging and radiology, while also serving as a resource for team members and collaborating with leadership to enhance operational efficiency through AI integration.

Key responsibilities

• Review and verify insurance information and patient eligibility for imaging prior authorizations
• Submit prior authorization requests to payors and monitor their status to ensure timely processing
• Collaborate with internal teams and external stakeholders to resolve authorization issues and improve process efficiency

Required qualifications

• 4+ years of experience with prior authorization and billing in radiology and/or diagnostic imaging
• Experience with athenahealth and/or NextGen systems
• Familiarity with major payors and radiology benefit managers
• Experience in oncology imaging and PET/CT prior authorization
• Hands-on leadership experience in a relevant operational role