Insurance Authorization Specialist (50330)

Insurance Authorization Specialist

Insurance Authorization Specialist

Job Summary:

We are seeking an experienced and detail-oriented Insurance Authorization Specialist to join our busy imaging facility. This role is essential in ensuring timely and accurate insurance authorizations for radiology procedures, including MRI, CT, X-ray, ultrasound, and other diagnostic imaging services. The ideal candidate is fast-paced, adaptable, and thrives in a multi-tasking environment. Excellent communication and customer service skills are essential.

Key Responsibilities:

• Obtain prior authorizations for imaging procedures from insurance companies, including MRI, CT, ultrasound, X-ray, and other diagnostic exams.
• Verify patient insurance eligibility, benefits, and requirements for imaging studies.
• Communicate directly with insurance representatives, referring physician offices, and patients to gather necessary information.
• Ensure all authorization approvals are documented accurately in the EMR and scheduling systems prior to appointments.
• Monitor and follow up on pending authorizations to prevent delays or rescheduling.
• Appeal denied authorizations and work collaboratively with radiologists and referring providers to obtain supporting clinical documentation.
• Maintain current knowledge of insurance payer guidelines and radiology authorization protocols.
• Deliver excellent customer service when assisting patients with insurance-related questions or concerns.
• Coordinate with front desk, scheduling, and billing teams to support efficient patient flow and minimize disruptions.

Qualifications:

• Minimum 12 years of prior experience in insurance authorization in a radiology or imaging setting.
• Strong understanding of radiology procedures and insurance requirements, including commercial, Medicare, and Medicaid plans.
• Ability to work efficiently in a fast-paced, high-volume environment while maintaining accuracy and professionalism.
• Excellent communication and interpersonal skills with a strong patient-service orientation.
• Highly organized with the ability to prioritize and handle multiple tasks.
• Comfortable learning and using EMR and scheduling software systems.
• Bilingual in English and Spanish (or another language) is preferred but not required.

What We Offer:

• Supportive and team-oriented work environment
• Opportunities for professional development in the healthcare field
• Comprehensive benefits package, including 401K.