What are the responsibilities and job description for the Insurance Authorization Specialist (49697) position at Capitol Imaging Services?
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:
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Obtain prior authorizations for imaging procedures from insurance companies, including MRI, CT, ultrasound, X-ray, and other diagnostic exams.
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Verify patient insurance eligibility, benefits, and requirements for imaging studies.
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Communicate directly with insurance representatives, referring physician offices, and patients to gather necessary information.
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Ensure all authorization approvals are documented accurately in the EMR and scheduling systems prior to appointments.
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Monitor and follow up on pending authorizations to prevent delays or rescheduling.
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Appeal denied authorizations and work collaboratively with radiologists and referring providers to obtain supporting clinical documentation.
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Maintain current knowledge of insurance payer guidelines and radiology authorization protocols.
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Deliver excellent customer service when assisting patients with insurance-related questions or concerns.
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Coordinate with front desk, scheduling, and billing teams to support efficient patient flow and minimize disruptions.
Qualifications:
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Required: Minimum 1–2 years of prior experience in insurance authorization in a radiology or imaging setting.
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Strong understanding of radiology procedures and insurance requirements, including commercial, Medicare, and Medicaid plans.
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Ability to work efficiently in a fast-paced, high-volume environment while maintaining accuracy and professionalism.
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Excellent communication and interpersonal skills with a strong patient-service orientation.
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Highly organized with the ability to prioritize and handle multiple tasks.
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Comfortable learning and using EMR and scheduling software systems.
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Preferred but not required: Bilingual in English and Spanish (or another language).
What We Offer:
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Supportive and team-oriented work environment
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Opportunities for professional development in the healthcare field
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Comprehensive benefits package, including 401K.