Radiology Preauthorization Specialist

Job Summary

To support patient access operations, the full-time Radiology Preauthorization Specialist will manage insurance authorizations and verifications remotely, ensuring timely pre-certifications for scheduled procedures while maintaining effective communication with patients and providers.

Key responsibilities

• Verifies eligibility and manages pre-authorization processes for scheduled radiology procedures, ensuring compliance with departmental requirements
• Maintains ongoing communication with insurance companies to confirm benefits and obtain necessary pre-certifications, responding to inquiries from providers and patients
• Monitors and updates the MedConnect Pre-Authorization Work Queue, ensuring accurate documentation and adherence to departmental quality assurance standards

Required qualifications

• High School Diploma or GED required
• 1-2 years of experience in patient accounting, patient access, or pre-arrival services, or an equivalent combination of education and experience
• Working knowledge of payer authorization processes and medical terminology
• Proficiency in hospital registration and billing systems, as well as Microsoft Excel and Word applications
• Ability to type at least 35 words per minute