Prior Authorization Specialist

TRA Medical Imaging

. Obtain prior authorizations for imaging procedures including MRI, CT, PET, Nuclear Medicine, Fluoroscopy, Interventional Radiology, Mammography, Ultrasound, X-ray, and Bone Densitometry .

Posted 10/23/2026full-timeRemote • United StatesMid-LevelSenior💰 $23 - $28 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in obtaining prior authorizations for imaging procedures, ensuring compliance with CPT and ICD-10 coding, and maintaining HIPAA standards. Proficient in navigating insurance eligibility and authorization workflows while providing exceptional patient-focused service.

Highest-signal resume keywords

Medical Office Insurance Authorization ExperienceCPT Coding KnowledgeICD-10 Coding KnowledgeExperience With RIS SystemsEffective Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingICD-10 CodingMedical TerminologyInsurance Eligibility VerificationAuthorization WorkflowsRadiology Procedures KnowledgeHCPCS CodingDocumentation ReviewPatient EducationDetail Orientation

Soft Skills

Attention To DetailCustomer Service SkillsWritten Communication SkillsVerbal Communication SkillsAbility To Manage Multiple Tasks

Tools & Technologies

RIS SystemInsurance Websites

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

HIPAA ComplianceMedical NecessityImaging ProceduresPrior AuthorizationsPatient AccessScheduling Functions

Tech Stack

Tools & technologies

Ray

About the role

Key responsibilities & impact

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
Ensure scheduled imaging examinations are authorized for the correct facility, meet medical necessity guidelines, and comply with insurance carrier and HIPAA requirements
Work under established guidelines and immediate supervision within Health Information Management, Patient Access, and Scheduling functions

Requirements

What you’ll need

Applicants must reside in Alabama, Arizona, Georgia, Idaho, North Carolina, Texas, Utah, or Washington
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
Clinical 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
Ability to work Monday through Friday, 9:00 AM–5:30 PM Pacific Time
Comfortable working independently in a remote environment
Knowledgeable about insurance carriers and medical necessity criteria
Committed to patient-focused service

Benefits

Comp & perks

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
Training and equipment provided