Insurance Authorization Specialist (49697)

Capitol Imaging ServicesKaty, TX
Onsite

About The Position

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.

Requirements

  • 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.

Nice To Haves

  • Bilingual in English and Spanish (or another language).

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.

Benefits

  • Supportive and team-oriented work environment
  • Opportunities for professional development in the healthcare field
  • Comprehensive benefits package, including 401K.
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