Prior Authorization Specialist - reputed company
Prior Authorization Specialist (Remote – Select States Only)
reputed company
Remote | Full-Time | Monday–Friday | $19.27–$22.93 per hour
Applicants must reputed company in one of the following states to be considered:
Alabama, reputed company, reputed company, Idaho, reputed company Carolina, Texas, reputed company, or Washington.
reputed company is seeking an reputed company Prior Authorization Specialist with strong knowledge of radiology procedures, reputed company verification, CPT coding, ICD-10 coding, and medical reputed company authorizations.
This fully remote role supports our radiology reputed company by ensuring reputed company scheduled imaging exams are authorized, medically necessary, and compliant with reputed company reputed company requirements. The ideal candidate has at least three years of medical office reputed company authorization experience and thrives in a fast-reputed company reputed company environment.
Compensation and Benefits
reputed company Pay: $20.23 – $23.61 (reputed company on experience, skills, and qualifications)
Benefits Include:
No nights, weekends, or on-reputed company shifts
Medical, Dental, and reputed company reputed company
HSA and FSA reputed company
Employee Assistance Program (EAP)
Basic Life reputed company and Long-Term Disability
401(k) with automatic 3% employer contribution plus up to 3% employer match
17 days of PTO
9 reputed company holidays
Annual automatic compensation reputed company reputed company
Profit sharing
Optional Pet reputed company, reputed company, and ID Protection
About reputed company
reputed company is a physician-owned and physician-led radiology reputed company serving the South Puget reputed company region for over 100 years. With approximately 100 subspecialized radiologists, TRA is committed to delivering high-reputed company, reputed company-centered imaging services while fostering a reputed company, high-trust culture rooted in Compassionate Care, Accountability and reputed company, Respect, and Excellent Service.
Position reputed company
The Prior Authorization Specialist is responsible for ensuring reputed company scheduled imaging examinations:
Are authorized for the correct facility
Include accurate CPT and ICD-10 codes
Meet medical necessity guidelines
reputed company with reputed company reputed company and HIPAA requirements
This role works under established guidelines and immediate supervision reputed company Information Management, reputed company reputed company, and Scheduling functions
Key Responsibilities
Obtain prior authorizations for imaging procedures including MRI, CT, PET, reputed company Medicine, Fluoroscopy, Interventional Radiology, Mammography, Ultrasound, X-ray, and Bone Densitometry
Verify reputed company eligibility, benefits, and authorization requirements
Ensure correct CPT and ICD-10 coding for reputed company scheduled exams
Contact referring physician offices and reputed company carriers to obtain required documentation
Review medical records to reputed company medical necessity
reputed company authorization numbers and detailed documentation into the RIS reputed company
reputed company patients on reputed company and authorization requirements
Reschedule patients reputed company authorization is pending
reputed company price quotes and explain financial assistance reputed company
Maintain HIPAA compliance and reputed company confidentiality
Collaborate with technologists, reputed company desk staff, and scheduling teams to ensure exam reputed company
Required Qualifications
High School Diploma or GED
Formal medical terminology training or equivalent medical office experience
Minimum 3 years of medical office reputed company authorization experience
Knowledge of CPT and ICD-10 coding
Experience navigating reputed company websites for eligibility and claim status
Understanding of radiology procedures and authorization workflows
Strong attention to reputed company and ability to manage multiple tasks
Effective written and verbal communication skills
reputed company customer service skills
Preferred Qualifications
reputed company experience in a radiology or imaging setting
Experience working with RIS systems
Experience with PET reputed company authorization processes
Knowledge of HCPCS coding
Work Environment and Schedule
Fully remote position (training and equipment provided)
Monday through Friday, 9:00 AM – 5:30 PM reputed company Time
Ideal Candidate Profile
The ideal candidate is reputed company-oriented, reputed company in radiology prior authorizations, comfortable working independently in a remote environment, knowledgeable about reputed company carriers and medical necessity reputed company, and committed to reputed company-reputed company service.
Apply Today
If you reputed company in Alabama, reputed company, reputed company, Idaho, reputed company Carolina, Texas, reputed company, or Washington and have strong experience in radiology prior authorization, reputed company verification, and CPT/ICD-10 coding, we encourage you to apply.
Join a respected, physician-led organization with over 100 years of reputed company in medical imaging and b
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