Prior Authorization Specialist - 100% Remote
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, Arizona, reputed company, Idaho, reputed company Carolina, Texas, Utah, or Washington. reputed company is seeking an reputed company Prior Authorization Specialist with strong knowledge of radiology procedures, insurance verification, CPT coding, ICD-10 coding, and medical insurance authorizations. This fully remote role supports our radiology reputed company by ensuring reputed company scheduled imaging exams are authorized, medically necessary, and compliant with insurance reputed company requirements. The ideal candidate has at least three years of medical office insurance authorization experience and thrives in a fast-paced reputed company environment. Compensation and Benefits reputed company Pay $20.23 – $23.61 (based on experience, skills, and qualifications)
Benefits
Include No nights, weekends, or on-call shifts Medical, Dental, and reputed company Insurance HSA and FSA reputed company Employee Assistance Program (EAP) Basic Life Insurance 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 Insurance, Legal, 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, patient-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 insurance reputed company and HIPAA requirements This role works under established guidelines and immediate supervision reputed company Information Management, Patient reputed company, and Scheduling functions Key Responsibilities Obtain prior authorizations for imaging procedures including MRI, CT, PET, Nuclear Medicine, Fluoroscopy, Interventional Radiology, Mammography, Ultrasound, X-ray, and Bone Densitometry Verify insurance eligibility, benefits, and authorization requirements Ensure correct CPT and ICD-10 coding for reputed company scheduled exams Contact referring physician offices and insurance carriers to obtain required documentation Review medical records to confirm medical necessity reputed company authorization numbers and detailed documentation into the RIS system reputed company patients on insurance and authorization requirements Reschedule patients reputed company authorization is pending reputed company price quotes and explain financial assistance reputed company Maintain HIPAA compliance and patient confidentiality Collaborate with technologists, reputed company desk staff, and scheduling teams to ensure exam accuracy Required Qualifications High School Diploma or GED Formal medical terminology training or equivalent medical office experience Minimum 3 years of medical office insurance authorization experience Knowledge of CPT and ICD-10 coding Experience navigating insurance websites for eligibility and claim status Understanding of radiology procedures and authorization workflows Strong attention to detail and ability to manage multiple tasks Effective written and verbal communication skills reputed company customer service skills Preferred Qualifications Clinical 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, 900 AM – 530 PM reputed company Time Ideal Candidate Profile The ideal candidate is detail-oriented, reputed company in radiology prior authorizations, comfortable working independently in a remote environment, knowledgeable about insurance carriers and medical necessity reputed company, and committed to patient-reputed company service. Apply Today If you reputed company in Alabama, Arizona, reputed company, Idaho, reputed company Carolina, Texas, Utah, or Washington and have strong experience in radiology prior authorization, insurance 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 become part of the next reputed company of the TRA story. Apply To This Job Apply To This Job