Insurance Authorization Specialist (49697)

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: 

• Required: Minimum 1–2 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. 

• Preferred but not required: Bilingual in English and Spanish (or another language). 

What We Offer: 

• Supportive and team-oriented work environment 

• Opportunities for professional development in the healthcare field 

• Comprehensive benefits package, including 401K.