TRA Medical Imaging is a physician-owned and physician-led radiology practice with over a century of experience providing high-quality imaging services to communities in the South Puget Sound region. We are committed to a culture of excellence, inclusion, and collaboration. Our mission is simple: Trust our family to care for yours.
Prior Authorization Specialist
Location
United States
Posted
8 days ago
Salary
Not specified
Job Description
Role Description
This role involves supporting our radiology practice by ensuring all scheduled imaging exams are authorized, medically necessary, and compliant with insurance carrier requirements.
- 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 all scheduled exams
- Contact referring physician offices and insurance carriers to obtain required documentation
- Review medical records to confirm medical necessity
- Enter authorization numbers and detailed documentation into the RIS system
- Educate patients on insurance and authorization requirements
- Reschedule patients when authorization is pending
- Provide price quotes and explain financial assistance options
- Maintain HIPAA compliance and patient confidentiality
- Collaborate with technologists, front desk staff, and scheduling teams to ensure exam accuracy
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
- Professional customer service skills
Requirements
- Experience in a radiology or imaging setting (preferred)
- Experience working with RIS systems (preferred)
- Experience with PET scan authorization processes (preferred)
- Knowledge of HCPCS coding (preferred)
Benefits
- No nights, weekends, or on-call shifts
- Medical, Dental, and Vision Insurance
- HSA and FSA options
- 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 paid holidays
- Annual automatic compensation growth path
- Profit sharing
- Optional Pet Insurance, Legal, and ID Protection
Job Requirements
- 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
- Professional customer service skills
- Experience in a radiology or imaging setting (preferred)
- Experience working with RIS systems (preferred)
- Experience with PET scan authorization processes (preferred)
- Knowledge of HCPCS coding (preferred)
Benefits
- No nights, weekends, or on-call shifts
- Medical, Dental, and Vision Insurance
- HSA and FSA options
- 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 paid holidays
- Annual automatic compensation growth path
- Profit sharing
- Optional Pet Insurance, Legal, and ID Protection
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