Prior Authorization Coordinator

Job Summary

To ensure financial clearance for outpatient radiological services, the full-time remote Prior Authorization Coordinator will manage pre-registration and prior authorization processes, confirming patient eligibility and coordinating with insurance companies.

Key responsibilities

• Registers patients and confirms eligibility with insurance carriers to obtain necessary pre-authorizations
• Coordinates timely insurance authorizations and resolves discrepancies in clinical documentation
• Communicates with healthcare providers and patients to address billing issues and authorization denials

Required qualifications

• High school diploma or equivalent required
• Two years of experience in a healthcare environment focusing on health insurance billing and reimbursement
• Knowledge of medical terminology and health insurance processes, including CPT and ICD-10 coding
• Strong organizational and analytical skills to manage a high volume of radiologic orders
• Interpersonal skills for effective communication with patients and healthcare professionals